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Applying for a work licence or special hardship order—Sample documents and forms

Work licence application

Sample 1 – Application for an order directing the issue of a restricted licence (s87) (Work licence application)(PDF, 468KB)

Sample 2 – Applicant’s Affidavit(PDF, 92KB)

Sample 3 – Employer’s Affidavit(PDF, 59KB)

Sample 4 – Letter to Police Prosecutions(PDF, 72KB)

Special hardship order application

Sample 5 – Special hardship order application(PDF, 248KB)

Sample 6 – Applicant’s Affidavit(PDF, 93KB)

Sample 7 – Certificate of exhibit(PDF, 51KB)

Sample 8 – Employer’s Affidavit(PDF, 87KB)


  • These are sample documents and forms to give you an idea of the information you might need to put in. Do not copy the information on the sample documents and forms word for word. Use them as a guide only and put in the information about your own situation.
  • You will not need to use all these forms. Only use the ones that apply to you.
  • If you need advice on how to fill in any of the forms, call Legal Aid Queensland on 1300 65 11 88.
  • Type your answers or write neatly in black or blue pen.
  • Make sure the information you use is correct and always double-check the spelling of the names of other people involved.
  • Include as much information as possible in your affidavit – it is better to include too much information than to leave out something important.

Last updated 16 November 2021

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