New Application - NSW Working with Children Check

Personal details

First given name *

No first given name

Other given names *

No other given names

Family name *

Single name only

Gender *

Female

Male

Other

Birth details *

Date of birth *

Town

State / Territory

Do you identify as being Aboriginal and/or Torres Strait Islander? *

No

Aboriginal

Torres Strait Islander

Both (Aboriginal and Torres Strait Islander)

Prefer not to answer

Contact details

At least one contact phone number and an email address is required for notification purposes

Mobile phone Australian only

Home phone Include area code

Business phone Include area code

Email address *

Confirm Email address *

Residential address *

Street address *

Suburb / Town *

Postcode *

Postal address *

Same as above

Street address *

Suburb / Town *

Postcode *

Previous names and aliases

Have you ever changed your name or used a different name? *

Yes

No

Purpose of check

Check purpose *

Paid employee

Self employed

Volunteer, authorised carer, adult household member, student on a professional placement, prospective adoptive parent

Child related sector *

Identity documents

Proof of identity requirements & Documents using a former name? Click here

Reference Numbers come from the document (eg: Passport, Birth Certificate, Medicare Card, Customer number etc)

Commencement of Identity Document *

Reference number

Primary Use in Community Document *

Reference number

Secondary Use in Community Documents *

Reference number

Summary & Consent

Please confirm that the following information is correct

Personal details

First given name
Other given names
Family name
Gender
Date of birth
Place of birth
Aboriginal and/or Torres Strait Islander status

Contact details

Mobile phone
Home phone
Business phone
Email
Residential address
Postal address

Previous names and Aliases

Purpose of check

Check purpose
Child related sector

Identity documents

Commencement of Identity
Primary Use in Community
Secondary Use in Community

I have fully completed this Form, and the personal information I have provided in it relates to me, contains my full name and all names previously used by me and is correct.
I acknowledge that the provision of false and misleading information is a serious offence under the Child Protection (Working with Children) Act 2012 (WWC Act).
I acknowledge that the Office of the Children's Guardian (OCG) is collecting information in this Form to provide to the Australian Criminal Intelligence Commission (ACIC), an Agency of the Commonwealth of Australia, and the Australian Police Agencies for the purposes of a National Police History Check (NPHC).
I acknowledge that any information provided by me on this Form relates specifically to the purpose of obtaining a Working with Children Check (WWCC) which includes a NPHC and I consent to:
• ACIC disclosing personal information about me to the Australian Police Agencies;
• the Australian Police Agencies disclosing to ACIC, from their records, details of convictions and outstanding charges, including findings of guilt or the acceptance of a plea of guilty by a court, that can be disclosed in accordance with the laws of the Commonwealth, States and Territories and, in the absence of any laws governing the disclosure of this information, disclosing in accordance with the policies of the Australian Police Agency concerned;
• ACIC providing the information disclosed by the Australian Police Agencies to the Office of the Children's Guardian in accordance with the laws of the Commonwealth.
For more information regarding the NPHC process or the handling of Personal Information and Police History Information, you can contact ACICs National Police Checking Service on:
Phone: (02) 6268 7900
Email: npcs@acic.gov.au 
I acknowledge that information released as part of the NPHC obtained from ACIC will be released in accordance with the Spent Convictions Schemes (see below).
(Part VIIIC of the Crimes Act 1914 (Cth); Criminal Records Act 1991 (NSW); Criminal Law (Rehabilitation of Offenders) Act 1986 (QLD); Spent Convictions Act 2009 (SA); Spent Convictions Act 1988 (WA); Criminal Records (Spent Convictions) Act 1992 (NT); Spent Convictions Act 2000 (ACT); Annulled Convictions Act 2003 (TAS); Victoria Police Information Release Policy).
I understand that as I am applying for a WWCC there may be exclusions from the Spent Convictions Schemes.
I acknowledge that any information provided by the Australian Police Agencies or ACIC, relates specifically to the purpose of obtaining a WWCC.
I acknowledge that the OCG may obtain information or documents for the purpose of assessing my WWCC application from:
• the Australian Criminal Intelligence Commission
• the NSW Police Force
• the Director of Public Prosecutions, whether or not those documents are subject to legal professional privilege or other restrictions of disclosure;
• Courts; and
• Government agencies and other persons holding information about me, including misconduct reports under Schedule 1 of the WWC Act.
I acknowledge that the OCG may obtain identity verification information from Transport for NSW for the purpose of assessing my WWCC application and I consent to Transport for NSW releasing such information to the OCG. I acknowledge that in collating identity verification information, Transport for NSW may seek information from the third parties which created the original documentation, and I consent to these third parties releasing this information.
I acknowledge that personal information that I provide in this Form may be disclosed to the OCG (including contractors or related bodies corporate) located in Australia or overseas for administrative purposes.
The OCG privacy officer may be contacted on (02) 8219 3600, by emailing legal@ocg.nsw.gov.au or in writing to: General Counsel Directorate, Office of the Children's Guardian, Locked Bag 5100, Strawberry Hills NSW 2012.
I acknowledge that it is usual practice for an applicant’s personal information to be disclosed to Australian Police Agencies for them to use for their respective law enforcement purposes including the investigation of any outstanding criminal offences.
I acknowledge that while a WWCC is in force, the NSW Police Force will store information about me in the NSW Police database (whether or not I have a criminal record).
I acknowledge that the Children's Guardian will advise any notifiable person, including my employer and/or their authorised agent, should an interim or final bar prevent me from working in child-related work, or in the event that I have been given approval to surrender or withdraw my WWCC clearance/application. This will also apply in the case where I have lodged an application for a role or position exempt by legislation or regulation.
As an employee of the NSW Department of Education, I acknowledge that further information will be provided detailing the legislative basis upon which an interim bar, final bar or cancellation has been imposed.
I consent to the disclosure of new criminal history information to the OCG by the NSW Police Force during the currency of a WWCC.
I acknowledge that new criminal history information or misconduct reports obtained or received by the OCG during the currency of a WWCC may be used to re-assess my WWCC clearance.
I acknowledge that information about me may be obtained from and disclosed to the National Disability Insurance Scheme Worker Check (NDISWC). This information may be used and retained for the authorised purposes set out in the WWC Act and the National Disability Insurance Scheme (Worker Checks) Act 2018 and include assessing my application for a WWCC and/or a NDISWC, ongoing monitoring of my clearance and administrative review. For the purposes of my WWCC, the OCG will have access to NDISWC information. This may include information provided by the National Disability Insurance Scheme Quality and Safeguards Commission and national police checking beyond ACIC and NSW Police Force information specified above in this notice.
I understand that I may withdraw my consent but may only do so by:
•             Ceasing any paid or unpaid child-related work, and;
•             Making a written request to have my WWCC Clearance cancelled.
If I do not have a WWCC clearance, I understand that to withdraw consent in relation to my application for a WWCC clearance, I may only do so by:
•             Ceasing any paid or unpaid child-related work, and;
•             Making a written request to withdraw my application.
I understand I can request to surrender my WWCC clearance or request to have my application withdrawn by writing to:
Working with Children Check
Office of the Children's Guardian
Locked Bag 5100
Strawberry Hills NSW 2012
I understand that if my application is terminated or refused, I’m permitted to withdraw my application or surrender my clearance, if I am subject to an interim bar or if my clearance is cancelled, that it is an offence under Section 8(1) of the WWC Act to work or volunteer in a child-related role.
I acknowledge that if I seek a review of a decision by the OCG to refuse my application to work with children or to cancel my clearance to work with children, any information that was used to assess my WWCC application may be made available to a tribunal or court in relation to the review of the decision.
The information provided on this Form and which ACIC provides to the OCG will only be used for the purpose of a WWCC unless statutory obligations require otherwise.
I understand that if I have already applied for a paid WWCC and have received a clearance, or if I am currently waiting for an outcome on an application for a paid WWCC, any further/additional application I submit is subject to a separate $80.00 non-refundable fee.
I have checked to make sure that I am not the holder of a paid WWCC clearance or have a paid WWCC application in progress. If I am the holder of a paid WWCC clearance or have a paid WWCC application in progress, I understand that I will not be able to seek a refund for any subsequent paid applications.  If I am the holder of a paid or volunteer WWCC clearance, I understand that I will not be able to seek an extension to the expiry date for my WWCC clearance.
I have read and understood this information, and I consent to the conditions above.

Please check the box to confirm you have read and agree to the above declaration and acknowledge that the information you have provided can be used to assess your suitability to work with children.

I understand that if I am engaged in child-related work by the NSW government agencies of Education, Communities and Justice, including Youth Justice, or Health, the OCG may inform the agency that my NPHC obtained from ACIC did not disclose any criminal history information.

Please check the box to confirm you have read and agree to the above declaration.

Application for a NSW Working with Children Check

Please correct the following errors

Gender *

Birth details *

Do you identify as being Aboriginal and/or Torres Strait Islander? *

Residential address *

Postal address *

Have you ever changed your name or used a different name? *

Check purpose *

Child related sector *

Commencement of Identity Document *

Primary Use in Community Document *

Secondary Use in Community Documents *

Personal details

Contact details

Previous names and Aliases

Purpose of check

Identity documents