Have you previously started a form?
Please resolve the following issues before proceeding
Click on an issue to go directly to the related section of the form.
errors found:
warnings found:

Submission Received

Application for approval of brothel manager
Thank you, your submission has been received.

Next steps

You are required to complete these additional forms to finalize your request.
Your Tracking Code is:
Please quote your Tracking Code when enquiring about your submission.

For your records

Would like a copy of this submission for your personal records?
OR

Check your email

We've sent a copy of your submission to your email address ().If you didn't receive it or would like another copy, just select one of the options below.
OR

Form Saved

Application for approval of brothel manager
Your form has been saved and may be re-opened later.
Your Tracking Code is:
Please note that your saved form, if not updated or submitted within a set period of time, will be deleted.Please ‘Send yourself a reminder email’ below. This email details the date and time your form will be deleted, the Tracking Code number, a link to access your saved form and information on how to contact us for further assistance.

Send yourself a reminder email

Enter your email address and we'll send you instructions on how to return to your form.

Check your email

We've sent instructions to your email address () on how to return to the application when you are ready. If you didn't receive it or would like a reminder send to a different email address, just click the link below and follow the instructions.

Information

Application for approval of brothel manager
Fields marked with  * are required

Before starting your application

This form should only be completed by individuals applying for approval to act as a manager of a brothel in Victoria, or applying to renew such an approval that they currently hold.

Eligibility

You are automatically ineligible to be approved or act as a brothel manager if: •you are under 18 years of age; or •you are insolvent under administration (bankrupt); or •within the last 5 years you have had a sex work service provider's licence or equivalent cancelled in Victoria; or •you are a represented person under the Guardianship and Administration Act 1986 (where a guardian or administrator has been appointed). You may also be ineligible if within the last 5 years, either as an individual or as a director or secretary of a company, or as an associate of a person or company, you have been convicted or found guilty of a disqualifying offence. For certain types of offences you can still apply for, and may be granted, approval. Based on the result of background checks, you may need to provide further information. If this is the case, the BLA will write to you.

Record checks

The BLA will conduct checks with the Australian Criminal Intelligence Commission (ACIC) and other agencies to verify the information provided in this application form.

Photo identification card

Approved brothel managers are required to carry a BLA-provided photographic identification card at all times while at the brothel. The BLA will send you the identification card form on receipt of this application.

Fees

The application fee is $ and must be paid at the time of applying. The application fee is non-refundable.

Providing incorrect information

It is a serious offence for a person to knowingly make a false or misleading statement in relation to a brothel manager. Significant fines apply.

Non-approved brothel managers

Non-approved brothel managers are liable for significant fines.

Privacy

Information and privacy

The Business Licensing Authority (BLA) is committed to responsible and fair handling of personal information consistent with the Privacy and Data Protection Act 2014 and its obligations under the Business Licensing Authority Act 1998. For privacy information, please refer to the Information and privacy - Business Licensing Authority page on the Consumer Affairs Victoria website.

Google Places

The Address search fields in this form use Google Places to help fill in the address details. By using this feature you agree to be bound by Google’s Terms of Service and are subject to Google’s Privacy Policy.

After you lodge your application

•To avoid delays, please complete the form correctly and attach all necessary documents. The average processing time last quarter was . You may be required to provide further information. •After your application is received, you will be sent a photo identification card application form. You are required to complete and return that form, together with two colour passport photographs. •If any change occurs in the information you have provided in your registration application, you must notify the BLA in writing within 10 days of becoming aware of the change. •If your application is not successful, you will be notified in writing. You can appeal the decision by applying to the Victorian Civil and Administrative Tribunal within 28 days of the decision. •If your application is successful, you will receive an approval certificate, which is valid for 3 years. You will also be sent your photo identification card. Once you are approved, you should familiarise yourself with your ongoing obligations. For more information, visit the Brothel manager section of the Consumer Affairs Victoria website.

Application

Application for approval of brothel manager
Fields marked with  * are required

Applicant or notifier details

Are you: * •under 18 years of age; or •insolvent under administration (bankrupt); or •a represented person under the Guardianship and Administration Act 1986 (where a guardian or administrator has been appointed); or •within the last 5 years have you had a sex work service provider's licence cancelled in Victoria?
Are you: * •under 18 years of age; or •insolvent under administration (bankrupt); or •a represented person under the Guardianship and Administration Act 1986 (where a guardian or administrator has been appointed); or •within the last 5 years have you had a sex work service provider's licence cancelled in Victoria?
In accordance with the Sex Work Act 1994, you are ineligible to be approved or act as a brothel manager. Please do not continue with this application. For further information call 1300 135 452.

Applicant details

Application for approval of brothel manager
Fields marked with  * are required

Applicant details

Applicant Name
Have you ever been known by another name? *
Have you ever been known by another name? *
List all other names by which you have ever been known e.g. “Joan Therese Citizen”. Include maiden name, previous married names.

Previous name of

Applicant Name
Date of birth *
Date must be in dd/mm/yyyy format and other sex worker over 18 years of age.
Date of birth *
Date must be in dd/mm/yyyy format and other sex worker over 18 years of age.

Citizenship

Are you an Australian citizen? *
Are you an Australian citizen? *
You must attach a copy of your passport, clearly showing your name and passport number.
You must attach a copy of your passport, clearly showing your name and passport number.
You must attach a copy of your passport, clearly showing your name and passport number.
File:

Contact details

Primary phone number *
Mobile preferred, if you provide a landline please include area code and for international numbers use +.

Residential address

Residential Address
This widget uses Google Places. In order to use it you need to comply with the Google Place API Policy. To summarise

•Your Terms of Use and Privacy Policy must be publicly available. •You must explicitly state in your applications Terms of Use that by using your application, users are bound by Google’s Terms of Service. •You must notify users in your Privacy Policy that you are using the Google Maps API(s) and incorporate by reference the Google Privacy Policy. Once you have complied with Google's policy you should hide this note.
Is this an Australian or international address?
of 1000 characters

Postal address

Postal Address
This widget uses Google Places. In order to use it you need to comply with the Google Place API Policy. To summarise

•Your Terms of Use and Privacy Policy must be publicly available. •You must explicitly state in your applications Terms of Use that by using your application, users are bound by Google’s Terms of Service. •You must notify users in your Privacy Policy that you are using the Google Maps API(s) and incorporate by reference the Google Privacy Policy. Once you have complied with Google's policy you should hide this note.
Is this an Australian or international address?
of 1000 characters

Supporting documentation

You must attach the following documents as part of the application.
You must attach the following documents for an individual associate.
Attach a completed Consent to Criminal History and Other Records Check form.
Attach a completed Consent to Criminal History and Other Records Check form.
File:
You must attach certified copies of 100 points of identification for each business partner.
Attach certified copies of 100 points of identification including one document containing a photograph. Further details can be found on the Consent to Criminal History and Other Records Check form.
Attach certified copies of 100 points of identification including one document containing a photograph. Further details can be found on the Consent to Criminal History and Other Records Check form.
File:

Business details

Application for approval of brothel manager
Fields marked with  * are required

Brothel details

Can you provide details of brothels in which you are intending to work as an approved brothel manager in Victoria? *
Can you provide details of brothels in which you are intending to work as an approved brothel manager in Victoria? *
For each brothel, you must provide the name of the brothel and as many other details as possible about the brothel and person who is licensed to operate the brothel.

Brothel of

Applicant Name
Postal Address
This widget uses Google Places. In order to use it you need to comply with the Google Place API Policy. To summarise

•Your Terms of Use and Privacy Policy must be publicly available. •You must explicitly state in your applications Terms of Use that by using your application, users are bound by Google’s Terms of Service. •You must notify users in your Privacy Policy that you are using the Google Maps API(s) and incorporate by reference the Google Privacy Policy. Once you have complied with Google's policy you should hide this note.
Is this an Australian or international address?
of 1000 characters

Business relationships

Are you a director or secretary of any company? *
Are you a director or secretary of any company? *
This company is your corporate associate.
Other than in your proposed capacity as a brothel manager, do you have or will you enter into any business arrangements or relationship with any company in respect of any sex work service providing business? *
Other than in your proposed capacity as a brothel manager, do you have or will you enter into any business arrangements or relationship with any company in respect of any sex work service providing business? *
This company is your corporate associate.
Other than in your proposed capacity as a brothel manager, do you have or will you enter into any business arrangements or relationship with a sex work service provider licensed in Victoria? *
Other than in your proposed capacity as a brothel manager, do you have or will you enter into any business arrangements or relationship with a sex work service provider licensed in Victoria? *
The sex work service provider is your associate.
Applicant Name

Associates details

Application for approval of brothel manager
Fields marked with  * are required
Provide details for all associates. If you are unsure if a person or company is an associate, visit the Interests and associates page on the Consumer Affairs Victoria website

Spouse / domestic partner

Do you have a spouse/domestic partner? *
Do you have a spouse/domestic partner? *
Has this person been, is this person or will this person be involved in or work in any sex work providing business? *
Has this person been, is this person or will this person be involved in or work in any sex work providing business? *
This person is your associate. Provide details of your spouse/domestic partner.

Spouse / domestic partner of

Type of associate
Is your spouse/domestic partner a director or secretary of any company? *
Is your spouse/domestic partner a director or secretary of any company? *
You must attach the following documents for a spouse/domestic partner who has been, is or will be involved in or work in any sex work providing business.
You must attach the following documents for an individual associate.
Attach a completed Consent to Criminal History and Other Records Check form.
Attach a completed Consent to Criminal History and Other Records Check form.
File:
You must attach certified copies of 100 points of identification for each business partner.
Attach certified copies of 100 points of identification including one document containing a photograph. Further details can be found on the Consent to Criminal History and Other Records Check form.
Attach certified copies of 100 points of identification including one document containing a photograph. Further details can be found on the Consent to Criminal History and Other Records Check form.
File:
Does your spouse/domestic partner have parents, sons, daughters, brothers, or sisters who have been, are or will be involved in or work in any sex work providing business? *
Does your spouse/domestic partner have parents, sons, daughters, brothers, or sisters who have been, are or will be involved in or work in any sex work providing business? *
This person is your associate. Provide details of this relative of your spouse/domestic partner.

Relative of

Relationship to your spouse/domestic partner
Is this relative a director or secretary of any company? *
Is this relative a director or secretary of any company? *
You must attach the following documents for a relative who has been, is or will be involved in any sex work providing business.
You must attach the following documents for an individual associate.
Attach a completed Consent to Criminal History and Other Records Check form.
Attach a completed Consent to Criminal History and Other Records Check form.
File:
You must attach certified copies of 100 points of identification for each business partner.
Attach certified copies of 100 points of identification including one document containing a photograph. Further details can be found on the Consent to Criminal History and Other Records Check form.
Attach certified copies of 100 points of identification including one document containing a photograph. Further details can be found on the Consent to Criminal History and Other Records Check form.
File:

Relatives

Do you have parents, sons, daughters, brothers, or sisters who have been, are or will be involved in or work in any sex work providing business? *
Do you have parents, sons, daughters, brothers, or sisters who have been, are or will be involved in or work in any sex work providing business? *
This person is your associate. Provide details of your relative.

Relative of

Relationship
Is this person a director or secretary of any company? *
Is this person a director or secretary of any company? *
This company is a corporate associate.
You must attach the following documents for a relative who has been, is or will be involved in any sex work providing business.
You must attach the following documents for an individual associate.
Attach a completed Consent to Criminal History and Other Records Check form.
Attach a completed Consent to Criminal History and Other Records Check form.
File:
You must attach certified copies of 100 points of identification for each business partner.
Attach certified copies of 100 points of identification including one document containing a photograph. Further details can be found on the Consent to Criminal History and Other Records Check form.
Attach certified copies of 100 points of identification including one document containing a photograph. Further details can be found on the Consent to Criminal History and Other Records Check form.
File:

Acknowledgement

Application for approval of brothel manager
Fields marked with  * are required

Fees

The application fee is $ (GST exempt)
Fees payable at time of application.

Acknowledgement

Invoice

Application for approval of brothel manager
Fields marked with  * are required

Department Of Justice
BUSINESS LICENSING AUTHORITY
ABN: 32 790 228 959
PHONE: 1300 13 54 52
Email: bla@justice.vic.gov.au
Tax Invoice Receipt
Dear Sir/Madam Please retain the following information as confirmation that your payment has been received and processed successfully by the Business Licensing Authority.
State Government of Victoria (Consumer Affairs Victoria)