14Application for provider approval by individual

#### 14 Application for provider approval by individual 14 Application for provider approval by individual > An application for a provider approval made by an individual under section 10 of the Law must include the following information— > > > (a) the applicant’s full name, and any former or other name the applicant may be known by; > > > (b) the applicant’s residential address and contact details; > > > (c) the applicant’s date and place of birth; > > > (d) proof of the applicant’s identity; > > > (e) a previous service statement made by the applicant; > > > (f) except in the case of an application to the New South Wales Regulatory Authority or the Queensland Regulatory Authority, if the participating jurisdiction has a working with children law— > > > > > (i) if held by the applicant, a copy of the applicant’s current working with children card or working with children check; or > > > > > (ii) if the applicant is a teacher registered under an education law of that jurisdiction, proof of the current registration under that law; > > > > > (iii) (Repealed) > > > (fa) in the case of an application to the New South Wales Regulatory Authority, the applicant’s working with children check number or a copy of the applicant’s current working with children card or working with children check; > > > (fb) in the case of an application to the Queensland Regulatory Authority, a copy of the applicant’s current working with children card or working with children check; > > > (fc) in the case of an application to the Tasmanian Regulatory Authority, a copy of the applicant’s working with vulnerable people registration; > > > (g) except in the case of an application to the Queensland Regulatory Authority— > > > > > (i) a copy of the applicant’s current working with vulnerable people check; or > > > > > (ii) a criminal history record check in respect of the applicant issued not more than 6 months before the date of the application; > > > (h) if a criminal history record check has been provided under paragraph (g)(ii), a criminal history statement made by the applicant in relation to the period after the date on which the criminal history record check was issued to the date of the application; > > > (i) if the applicant lived and worked outside Australia at any time within the previous 3 years, an overseas criminal history statement made by the applicant; > > > (j) a disciplinary proceedings statement made by the applicant; > > > (k) a bankruptcy declaration made by the applicant. > > Note. > > If there is more than one applicant, the prescribed information must be provided in respect of each applicant—see section 10(3) of the Law. > > **Reg 14:** Am 2013 (417), reg 10 (1); 2014 (260), reg 8; 2017 (543), reg 8.