Agricultural Chemicals Application - Renewal
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Agricultural Chemicals Application - Renewal
Pursuant to section 17 of the Agricultural Chemicals Distribution Control Act 1966

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Important information

This completed form and fee must be submitted before the expiry date for this licence to be renewed.

The Licence fee must be paid with this application. Once you have completed the form details you will be sent to the Commonwealth Banks BPOINT site to pay the licence fee with a credit card or debit card. Once payment has been made, your application will be submitted and you'll be emailed a payment receipt.

You may apply to renew your licence within 60 days before the licence expires. If your application and payment to renew your licence is not received by this date the licence expires.

An application after this expiry date will not be accepted. Failure to renew your licence before the expiry date will require you to apply for a new licence.

Agricultural Chemicals Application - Renewal
Pursuant to section 17 of the Agricultural Chemicals Distribution Control Act 1966

Applicant Details
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Licence details

Enter your licence number e.g. G12345 and click the Lookup button to retrieve your licence details.

Renewal prevented

You cannot renew your licence because:
The expiry date for the licence has passed. Licences issued under the Agricultural Chemicals Distribution Control Act 1966 cannot be renewed after the licence has expired. If you need a licence, please complete the new licence application form.
Your licence is not due for renewal. You may commence renewing your licence 60 days within the expiry date.

Licence type

I apply for the renewal of my:

ABN

You will be required to provide a copy of the Trust documents showing the relationship of the Incorporated Trustee to the Trust.
The entity name refers to the name that appears on all official documents or legal papers. The entity name may be different from the business name.
Your business may have registered one or more business names. If you operate under a business or trading name you can enter alternate name(s) here. If your business or trading name is not listed here select ‘other’.
If you have not registered your business name but trade under another name enter it here.
File:

Change your name

Do you want to change your name
Enter new name details below. You must submit documentation to verify your name change.
eg: marriage certificate, deed poll document, divorce document.
Attachments must be saved as either PDF, JPG, GIF, PNG or DOCX format and can’t be larger than 5MB.
Attach scan or photograph of your proof of name change document
File:

Change contact details

Have any of your contact details changed?(eg: email, phone, address)

Address

Please enter your address

Residential address

Postal address

Employer details

Has your employer changed
New employer's details

Business address

Postal Address

GDC/ADC holding

Do you agree that your GDC/ADC holding employer can discuss your licence and/or application with the department?

Agricultural Chemicals Application - Renewal
Pursuant to section 17 of the Agricultural Chemicals Distribution Control Act 1966

Pilot Chemical Rating Licence
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Term of licence renewal

Length of licence applied for

Information documents

Attachments must be saved as either PDF, JPG, GIF, PNG or DOCX format and can’t be larger than 5MB.
Provide a certified copy of your latest AAAA Spraysafe Accredation documentation.
Attach a AAAA spraysafe accreditation documentation
File:
If you qualified for your pilot chemical rating licence by holding AAAA Spraysafe Accreditation, provide a copy of your latest accreditation documentation.
Attach a copy of your latest Spraysafe Accreditation
File:

Agricultural Chemicals Application - Renewal
Pursuant to section 17 of the Agricultural Chemicals Distribution Control Act 1966

Commercial Operator's Licence
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Term of licence renewal

Length of licence applied for

Agricultural Chemicals Application - Renewal
Pursuant to section 17 of the Agricultural Chemicals Distribution Control Act 1966

Aerial Distribution Contractor Licence
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Term of licence renewal

Length of licence applied for

CASA submission document upload section

Attachments must be saved as either PDF, JPG, GIF, PNG or DOCX format and can’t be larger than 5MB.
Attach a copy of your Air Operator’s Certificate (AOC)
Attach a copy of your Remotely Piloted Aircraft Operators Certificate (ReOC) or Unmanned Aerial Vehicle Operator’s Certificate (UOC)
Attach a copy of your RPAS Operations Manual 1.
File:

Agricultural Chemicals Application - Renewal
Pursuant to section 17 of the Agricultural Chemicals Distribution Control Act 1966

Ground Distribution Contractor Licence
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Term of licence renewal

Length of licence applied for

Agricultural Chemicals Application - Renewal
Pursuant to section 17 of the Agricultural Chemicals Distribution Control Act 1966

Declaration
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Privacy statement

The Department of Agriculture and Fisheries collects this information under the provisions of the Agricultural Chemicals Distribution Control Act 1966 so you may apply for a licence renewal.

Any information on this form or associated with this form may be provided to:

•relevant government agencies (local or interstate): to assist in the management of diseases, pests and residues; the investigation of complaints under the Act where necessary; and as part of compliance and monitoring activities for the licensing and other requirements under the Act and its regulation;•other areas of the Department in order to assist the Department in its regulatory functions.

Information will not be provided to any other third party without your consent, unless authorised or required by law. The Agricultural Chemicals Distribution Control Act 1966 (section 24) requires that the standards officer must keep a register which is available to the public and contains the name, address and licence details of all licensees.

Offence warning

Penalties exist for deliberately making a false or misleading statement, including falsifying training documentation.

Declaration

I declare that:

•the particulars provided in this application and any information associated with this application are true and correct; and•I have read and understood the privacy statement within this application and I consent to the use of my information on this form as set out in the privacy statement.

Signature

Read Electronics Transactions (Queensland) Act 2001.

Agricultural Chemicals Application - Renewal
Pursuant to section 17 of the Agricultural Chemicals Distribution Control Act 1966

Payment
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Fee Payable

Licence selected and awaiting payment are

Total fees payable:
Please select the method of payment *
Paying online is safe and easy with out secure Credit/Debit Card facility. The following cards are accepted:
Contact your bank or financial institution with the details that will be presented on your receipt to make a BPAY payment using your savings or cheque account.
Account name: QRIC
BSB: 064 013
Account number: 1004 2676
Ensure payment by direct debit is completed before submitting this form. This will enable the receipt number or payment reference to be entered below as part of this application after selecting Direct Debit.
Tax Invoice / Receipt
(Times are Daylight Saving Time)
Department of Agriculture and Fisheries
GPO BOX 46 BRISBANE, QLD, 4001
ABN: 66934348189
Date of Issue:
Receipt Number:
Submission Number:
Submission Date:
Purchaser:
Licence Holder:
Address:
Licence Holder Type:
Contact Details:
Contact: Licensing and Transaction Officer, LTU
Phone: Customer Service Centre 13 25 23
Email: CALS@daf.qld.gov.au
PAYMENT DETAILS
Payment Mode:
Payment Receipt Number:
Payment Date:
Item
Description
Item Amount
(excl GST)
GST
Total Amount
(incl GST)
TOTAL
Total Amount Payable excluding GST
GST Amount Payable
Total Amount Payable including GST
If you require any further information regarding this tax invoice/receipt, please refer to the contact details above.
PRIVACY STATEMENT
The Queensland Government is committed to protecting your privacy. Your personal details will be securely stored on a Queensland Government database which will only be accessible by authorised persons of government agencies where the disclosure is necessary to fulfil statutory, administrative or other public responsibilities. The personal information will only be used for the purpose for which you provide it and will not be given to another person or body without your consent, or unless required by law. Details of the Queensland Government Privacy Scheme can be accessed through https://www.qld.gov.au/gov/information-security-records-and-privacy.

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Agricultural Chemicals Application - Renewal
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