Form F3948 Cfd Driver Trainer And Rider Trainer Accreditation Application

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Driver Trainer and Rider Trainer
Accreditation Application
Transport Operations (Road Use Management) Act 1995
Transport Planning and Coordination Act 1994
Effective date
Expiry date
This form may be used by you to apply for:
/
/
/
/
• Driver Trainer or Rider Trainer Accreditation
• renewal of a Driver Trainer or Rider Trainer Accreditation
Family name (please print in block letters)
• change existing class/es of vehicle you wish to give
training for.
Given name/s
If you are applying for the grant of an accreditation as a Rider
Trainer, you must already be an accredited Driver Trainer and
be authorised to train a class R motorbike.
Residential address
An accredited Rider Trainer may only give Q-RIDE training as
a registered service provider or an employee of a registered
service provider.
Postcode
Postal address (if the same as residential write ‘as above’)
To apply for accreditation you must:
(a) hold and have held for a continuous period of at least one
year on the day the application is made an open Australian
Postcode
or New Zealand driver licence for the class of vehicle for
which you propose to give training
Daytime contact phone number
Date of birth
(b) pay appropriate fee
/
/
(c) provide evidence of appropriate training.
Email address (optional)
Please note: Applications may be lodged prior to completion
of the relevant training qualifications to allow the Department of
Transport and Main Roads to commence the required checks.
Town or city of birth
However the relevant training qualifications must be lodged
within three months from the lodgement of the application or the
application will lapse and you will not receive a full refund of the
State/Territory of birth
Country of birth
application fee.
Additional Information
This application and fees must be lodged in person at a
(b) Do you wish to advise the department of a change of
departmental Customer Service Centre or QGAP Office.
personal details (for example, change of name)?
If you have an existing industry authority card, you must bring
No
this with you.
Yes
You are also required to complete a Change of
If your accreditation has lapsed by three months or more
Customer Details (form F4214) and show
from the expiry date, then you must re-apply and meet new
a Change of Name document (refer to EOI
Requirements (form F4362)).
application requirements.
Fees are not refundable if the application is unsuccessful.
2 - Current Industry Authority Information
Evidence of Identity (EOI) Requirements
(a) Do you have an existing industry authority? (for example,
You must give EOI. You must do so by presenting your
Driver Authorisation, Tow Truck Driver/Assistant and so on)
Queensland driver licence. If you are unable to present your
No
driver licence, your Queensland industry authority, marine
Yes
Do you wish to surrender any of these authorities?
licence indicator or adult proof of age (APA) card, you can refer
to the EOI Requirements (form F4362) or the departmental
No
website for a full list of EOI, evidence
Yes
You must complete Replacement
of Queensland residential address and change of name
Industry Authority (form F4729).
documents.
(b) Do you have other industry authority applications which have
Digital Photo
been lodged but are not yet finalised?
You may be required to allow the taking of a digital photo to
No
confirm your connection to the most recent digital photo kept
Please provide details.
Yes
by the department or to renew the latest digital photo.
Mutual Recognition
You may be eligible to apply under mutual recognition.
You can check if your licence/accreditation is eligible for
mutual recognition by using the Licence recognition website
3 - What are you applying for?
at
Driver Trainer Accreditation
1 - Applicant’s Details
(please tick appropriate box)
Rider Trainer Accreditation
(a) Do you have a Customer Reference Number (CRN)?
renewal of existing Driver Trainer or Rider Trainer
(The CRN is your Queensland driver licence number, Adult
Accreditation
Proof of Age Card or Industry Authority number).
change existing class/es of vehicle you wish to give
No
Please complete a New Customer Application
training for
(form F3503).
add stream (for example, car, heavy vehicle)
Yes
Please quote your CRN.
upgrade (for example, HR to MC)
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Page 1 of 4 TRB Forms Area Form F3948 CFD V01 Jul 2016

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