Application for replacement certified copy of driver's licence, learner ...
Government of Western Australia Department of Transport
DL26
Application for Replacement/Certified Copy of
Driver's Licence, Learner's Permit or Learner Log Book
When blank, this form is classed as OFFICIAL, when completed, this form is classed as OFFICIAL SENSITIVE
If your driver's licence has been stolen, you do not need to pay for a replacement if it has been reported to the Western Australia Police Force and you provide the police incident report number (this is not applicable for learner's permit cards and Log Books). If you have been a victim of identity fraud and your driver's licence or learner's permit information has been compromised, you must provide evidence to be eligible for a free replacement. Refer overleaf for evidence required.
LICENCE HOLDER DETAILS
REPLACEMENT REQUIRED
FAMILY NAME FIRST NAME/OTHER NAMES
REPLACEMENT REQUIRED
Driver's licence
Learner's permit
Learner Log book
ORIGINAL LICENCE/PERMIT/LOG BOOK
Destroyed, damaged or lost
Change of details
DATE OF BIRTH
/
/
LICENCE/PERMIT NUMBER (IF KNOWN)
PHONE EMAIL RESIDENTIAL ADDRESS
SUBURB
STATE
WA
POSTAL ADDRESS
POST CODE
Stolen (complete REASON FOR FREE REPLACEMENT section below) Identity fraud (complete REASON FOR FREE REPLACEMENT section below) Other IF OTHER PLEASE PROVIDE DETAILS
You can renew your driver's licence up to 6 months early. If you are eligible, do you authorise the Department of Transport to charge a renewal payment to your credit card instead of a replacement card fee? (only available when posting with below authorisation).
YES (Renewal period 1 YEAR
5 YEARS )
NO
REASON FOR FREE REPLACEMENT
SUBURB STATE
POST CODE
To the best of my knowledge my driver's licence has been:
Stolen in WA (provide WA Police Force incident number below) or Used in identity fraud (evidence must be attached - see overleaf)
A replacement card will be issued at no charge if you provide the required supporting information to substantiate your application.
WA POLICE FORCE INCIDENT REPORT NUMBER (Stolen driver's licence only)
I declare that the information on this form is true and correct. I understand that under the provisions of the Road Traffic (Administration) Act 2008, it is an offence to provide false or misleading information.
SIGNATURE OF APPLICANT
DATE
/
/
Department of Transport staff/agents ONLY to detach the below credit card authorisation slip from this form.
Credit card Authorisation (only required if posting this form) * Required fields
CARDHOLDER NAME *
CARD NUMBER *
CREDIT CARD TYPE *
BILLING ADDRESS *
Visa
Mastercard
EXPIRATION DATE *
CITY *
STATE/PROVINCE *
POST CODE *
COUNTRY *
PHONE NUMBER *
EMAIL ADDRESS
I authorise the Department of Transport to charge my credit card in the amount of: $
(refer to transport..au/dvs for current fees)
PRINTED NAME *
SIGNATURE *
DATE *
Your credit card details will be securely destroyed once your payment has been processed.
Last updated: 24.04.2023
LODGING YOUR APPLICATION IN PERSON
This form may be presented in person at a Driver and Vehicle Services (DVS) centre, regional Department of Transport (DoT) office or DVS agent along with primary and secondary identification.
Visit our website at transport..au/dvs for locations and acceptable proof of identity documents.
DRIVER'S LICENCE OR LEARNER'S PERMIT DESTROYED, DAMAGED, LOST, YOUR DETAILS HAVE CHANGED OR THERE IS GOOD REASON FOR A REPLACEMENT
A fee applies for a replacement driver's licence or learner's permit unless you provide evidence the card was stolen in WA or you have been a victim of identity fraud (see below for further details).
STOLEN DRIVER'S LICENCE A replacement driver's licence card will be issued free of charge if the licence card was stolen in WA and a WA Police Force incident report number is provided overleaf. Not applicable to learner's permits or log books.
IDENTITY FRAUD A replacement driver's licence card or learner's permit will be issued free of charge if you have been a victim of identity fraud involving the use of your driver's licence or learner's permit details. You must provide one form of supporting evidence as listed below: ? Identity Crime Certificate issued by a State or Commonwealth court
(if applicable); or ? Letter from a law enforcement agency confirming you have been a victim
of identity fraud involving the use of your driver's licence or learner's permit details.
LOG BOOK A replacement Learner Log Book must be applied for in person at DVS centres, regional DoT offices or DVS agents. A fee applies.
LODGING YOUR APPLICATION BY POST
Where applicable, mail this form to GPO BOX R1290, Perth WA 6844.
To lodge your application by post you must supply: ? Certified copies of primary and secondary proof of identification (information
on acceptable proof of identity documents can be located online at transport..au/dvs ? Payment (if applicable) ? Supporting evidence (if applicable)
DRIVER'S LICENCE OR LEARNER'S PERMIT DESTROYED, DAMAGED, LOST, YOUR DETAILS HAVE CHANGED OR THERE IS GOOD REASON FOR A REPLACEMENT
Payment for a replacement driver's licence or learner's permit must be enclosed or the credit card authorisation completed, unless you provide evidence the card was stolen in WA or you have been a victim of identity fraud (see below for further details).
STOLEN DRIVER'S LICENCE
A replacement driver's licence card will be issued free of charge if the licence card was stolen in WA and a WA Police Force incident report number is provided overleaf. Not applicable to learner's permits or log books.
IDENTITY FRAUD A replacement driver's licence card or learner's permit will be issued free of charge if you have been a victim of identity fraud involving the use of your driver's licence or learner's permit details. You must provide one form of supporting evidence as listed below: ? Identity Crime Certificate issued by a State or Commonwealth court
(if applicable); or ? Letter from a law enforcement agency confirming you have been a victim
of identity fraud involving the use of your driver's licence or learner's permit details.
LOG BOOK You cannot apply for a replacement Learner Log Book by post. See section above for details on submitting your application in person.
OFFICE USE ONLY
EVIDENCE APPLICANT IS A VICTIM OF IDENTITY FRAUD (copied and attached)
WA POLICE FORCE INCIDENT REPORT NUMBER (provided overleaf for stolen licence)
PROOF OF IDENTITY CHECK PRIMARY
Birth Certificate
Citizenship
Previous licence document Naturalisation document
Passport Immigration document
Proof of Age card/WA Photo Card SECONDARY (specify)
PREVIOUS LOG BOOK NUMBER NEW LOG BOOK NUMBER
DATE
/
/
SIGNATURE
DVS CENTRE/AGENT
................
................
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