Photo Identication Card Act 2008; Transport Planning
and Coordination Act 1994
Photo Identication Card
Application/Replacement
Page 1 of 2 TRB Forms Area Form F4772 CFD V01 Apr 2019
Continued over page...
Evidence of Identity (EOI) Requirements
You must give evidence of your identity. You may do so by
showing your Qld driver licence, industry authority, marine
licence indicator (conditions apply), APA or Photo ID card. All
cards must be current or expired by less than two years.
If you are unable to show one of the above you will need
to present three other acceptable EOI documents and
evidence of your Qld residential address. For a full list of
acceptable EOI, evidence of residential address and change
of name documents, please refer to the Evidence of Identity
Requirements for Individuals (form F4362) or visit
www.qld.gov.au.
Please use this form to apply for:
• the issue or replacement of a Photo Identication (Photo ID)
card
• a replacement Adult Proof of Age (APA) card (now known as
Photo ID card).
To apply for a Photo ID card you must be at least 15 years of
age and reside in Queensland (Qld).
Important information about the delivery of your Photo ID
card
If your application is approved, your Photo ID card will be mailed
to your postal address within 14 days.
1. Personal details
Family name (please print)
Given name/s
Residential address
Postcode
Postal address (if same as residential, write ‘as above’)
Postcode
Daytime contact phone number
Date of birth
/ /
Town, state and country of birth
Email address
Do you want your residential address displayed on the
reverse of your Photo ID card?
Would you like to get e-notices and e-reminders?
No
No
Yes
Yes
Male (M) Female (F)
Gender:
4. Is your name different to the name/s on your EOI
documents?
No
Yes You must show an EOI change of name
document. Please provide details of your
documents.
Category A (please print)
Evidence of Qld residential address (please print)
Category B (please print)
Category A or B (please print)
Document type
(for example Australian
passport)
Document number
(for example X0100011)
Document type
(for example telephone account)
Issue date
(for example 01/04/2019)
Document type
(for example Medicare card)
Expiry date
(if applicable)
Document type
Document number or expiry date
(do not give credit/debit card
number)
3. Can you show your Qld driver licence, industry
authority, marine licence indicator, APA card or Photo
ID card?
2. Do you currently hold or have you ever been issued a
Qld driver licence, industry authority, marine licence,
APA card, Photo ID card or vehicle/vessel registration,
in any other name? (e.g. name at birth, maiden name,
previous married names, adoptive name, or other
aliases)
Yes
Yes
No
No
Licence/authority/reference number
Provide details below
You must show three EOI documents, one
of which must show your signature, and one
evidence of residential address document.
Please provide details of your documents.
/ /
Previous family name/s
Previous given name/s
Note: an EOI document linking your previous name and
your current name may be required.
