Application Form For Volunteer National Police Check Page 2

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APPLICATION FOR VOLUNTEER NATIONAL POLICE CHECK
This is not an application for a National Police Certificate
Instructions for completing page 1 of this form
Volunteers - please ensure that you:
Write in ink, use BLOCK LETTERS and complete all sections of Part A (Personal Details).
Sign and date Part B (Consent and Indemnity) on page 1 of this form
Do not alter or delete the wording on the form in any way
Representative of Volunteer Group - please ensure that you:
Complete Part C (checklist and certificate)
Ensure suitable Proof of Identity is produced and the details on Part A (Personal Details) are completed correctly
Retain this completed form in a secure place for a period of 2 years, as WA Police may audit any volunteers
checks conducted.
Proof of Identity
Primary Identification, includes
One or more of the following documents must be produced as proof of identity by the applicant:
Previous or current Australian driver’s licence with a photograph
Australian Passport (not expired by more than 2 years)
Current overseas Passport
Birth Certificate or Extract of Birth (support document must also be produced if birth name has changed by
marriage or deed poll)
Visa or Immigration document
Australian Document of Identity
Australian Citizenship Papers
Secondary Identification
Where only one type of Primary Identification is produced, a second form of identification must also be
produced, which may include:
ATM access card issued by a financial institution
Credit card (i.e. Visa, American Express, Diners, Bankcard etc.)
Pension card issued by Veteran Affairs or Centre Link
What Is A Volunteer National Police Check
Western Australia
The criminal records database used by WA Police contains court outcome and charge information resulting from investigations
initiated by police. Many offences are investigated and prosecuted by non-police agencies. The details of court outcomes and
pending charges resulting from these investigations may not be included in the screening process. The release of certain court
outcomes (eg. spent convictions) and pending charge information is restricted by legislation. Such information will not be
acknowledged in the reply to the volunteer group.
Other Australian Police Jurisdictions
Where a police record with another Australian police jurisdiction has been identified, any relevant legislation and release policy
governing that police jurisdiction will be applied before it is acknowledged. Under various sections of Commonwealth, State and
Territory legislation a person has the right, in particular circumstances or for a particular reason, to not disclose certain court
outcomes and pending charges. Such court outcomes and pending charges will not be acknowledged, providing this is in
accordance with relevant legislation or release policy. If further information is required in relation to the legislation and release
policies of any police jurisdiction, please contact that individual police jurisdiction directly.
The CrimTrac Agency
WA Police will utilise the services provided by the Commonwealth CrimTrac Agency to search and collate records held by other
Australian police jurisdictions.
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