Government of Western Australia
Department of Transport
Photo Card Application
Issued under the
Western Australian Photo Card Act 2014
Last updated: 03.09.2020
CARD WITH RESIDENTIAL ADDRESS
CARD WITHOUT RESIDENTIAL ADDRESS
Reason for replacement/certied copy:
DAMAGED NOT PRODUCED
GENDER Supporting documents required
when gender X is selected,
refer to the DoT website.
MALE FEMALE X
NATURAL HAIR COLOUR
COUNTRY OF BIRTH
If you hold a concession, complete the section below and present your
concession card/s at the time of application.
The concession details will also be applied to your WA driver’s licence.
WA SENIORS CARD NUMBER
COMMONWEALTH SENIORS HEALTH CARD NUMBER
PENSIONER CONCESSION CARD NUMBER
It is an oence to give false or misleading information. Penalties will
be enforced under the Western Australian Photo Card Act 2014 and
Western Australian Photo Card Regulations 2014.
Applicants should be aware that there is no obligation on an institution to
accept the Photo Card for proof of identity purposes.
It is a requirement under s.6 of the Western Australian Photo Card Act 2014
that a signature is provided for use on the Photo Card unless the applicant
is unable to sign because of permanent disability. If you are unable to
provide a signature because of a permanent disability, the declaration on the
back of this form must be completed by a person who has reached the age
of 18 years.
declare that the information provided in this application is true and
DATE OF BIRTH
RESIDENTIAL ADDRESS (MUST BE IN WA)
POSTAL ADDRESS (IF DIFFERENT TO RESIDENTIAL ADDRESS)
When applying for a Photo Card, you must attend a Driver and Vehicle Services (DVS) centre, regional Department of Transport (DoT) oce or
regional agent in person and provide relevant proof of identity documents (see overleaf). Visit www.transport.wa.gov.au/licensing for locations.
The Photo Card is valid for ve years. Applicants must be over the age of 16 to be eligible.
VETERANS’ AFFAIRS GOLD CARD - ENDORSED TPI OR EDA
VETERANS’ AFFAIRS PENSIONER CONCESSION CARD*
*Where the holder is of pension age a 100% concession will apply.
Where the holder is not of pension age a 50% concession will apply.
You must advise the Department of Transport in writing if your
concessional entitlement is reduced or withdrawn. Written
correspondence to be mailed to Driver and Vehicle Services, GPO Box R1290
Perth WA 6844.
IF YES DETAIL YOUR PREVIOUS/OTHER NAME/S
HAVE YOU EVER BEEN KNOWN BY ANY OTHER NAME?
(e.g. name at birth, maiden name, previous married names, alias, adoptive
name or foster name)
WA LICENCE NUMBER
When blank, this form is classed as OFFICIAL, when completed, this form is classed as OFFICIAL SENSITIVE