Exemption from Learner Logbook Requirements Application

1 Exemption from Learner Logbook Requirements ApplicationTransport Operations (Road Use Management) Act 1995 This form is to be used if you are applying for an Exemption from the requirement to record 100 hours of supervised driving experience in a Learner Logbook before you are eligible to apply for a P1 provisional may be eligible if you meet at least one of the following Requirements :1. No car availableYou are able to prove that you do not have a car reasonably available to you to enable you to complete 100 hours of supervised driving : You are not eligible for an Exemption if you have access to a car but the transmission (manual or automatic) is not of your preferred No supervisor availableYou are able to prove that you do not have a supervisor reasonably available to you to enable you to complete 100 hours of supervised driving supervisor is a person who:a.

2 Directs you while you are learning to driveb. holds an open licence and has held that licence for at least one yearc. sits next to you in the front passenger seat while you are Limited access to a road networkYou are able to prove that:a. you live in an area with a limited road network that prevents you from obtaining 100 hours of supervised driving experience in a variety of road and traffic conditionsb. there is no significant benefit for you to satisfy the Learner Logbook Requirements by driving on the available road networkc. there is no reasonable likelihood of you moving from the area or having an opportunity to drive in an area with a diverse road limited road network is a small number of roads of the same kind, for example, an island with a single road around the diverse road network is a group of roads of different kinds, for example, single or double lane roads, intersecting informationIf you have no car or supervisor available, a supporting person such as an immediate family member, carer or guardian must complete the supporting statement (included in this Application ) confirming your circumstances and detailing the reasons why you cannot complete the 100 hours of supervised driving experience.

3 If this is not included your Application cannot be lodgement of this Application does not guarantee it will be approved. Your traffic history will be considered. Once received, your Application will be assessed and you will be advised of the outcome within 28 your Application is approved, you will be required to hold your Learner licence for at least two years in the five year period prior to applying for your P1 provisional licence. continued page 1 of 4 LTSR Forms Area F4469 CFD V01 Mar 2022 Residential addressPostal address (if same as residential, write as above )PostcodePostcodeDate of birth/ /Family name (please print)Given name/s (please print)Email addressDaytime contact phone number2. Applicant s details3. No car availableYe sNoGo to 4 Are you able to prove that you do not have a car reasonably available to you to complete 100 hours of supervised on-road driving experience?

4 Explain why you do not have access to a car (attach a separate sheet if required). You will need to provide a supporting statement see page 3 of this Licence detailsLicence typeLicence class/esLicence numberYou can send this Application with the Application fee (cheque or money order) by mail to Department of Transport and Main RoadsCPU (Exemptions)PO Box 2167 MANSFIELD QLD 4122 You may also take the completed Application and Application fee (cash, EFTPOS and major credit cards - a credit card surcharge will apply) to a Department of Transport and Main Roads (TMR)customer service centre or Queensland Government licence issuing Application fee is non-refundable except under special circumstances. For information about the Application fee, visit or call 13 23 next from Learner Logbook Requirements Application .

5 Continued page 2 of 46. DeclarationI declare that the information I have provided in this Application is complete, true and correct in every detail. I understand that failure to provide complete, true and correct information may result in my Application being refused. I authorise a departmental officer to contact my supporting person/s to make any enquiries considered necessary in relation to this s signatureDate/ /It is an offence under the Transport Operations (Road Use Management) Act to state anything or give a document to a departmental officer if you know it contains false or misleading information. The maximum penalty may exceed $ Limited access to road networka. Do you live in an area with a limited road network?Ye sNoIf you have also answered No to 3 and 4, you are not eligible for an details of the road network available to you (attach a separate sheet if required).

6 D. Do you have an opportunity to drive a car in an area with a diverse road network?NoYe sProvide details (attach a separate sheet if required).Privacy Statement: TMR provides this form under the Transport Operations (Road Use Management) Act so that you may apply for an Exemption from the Learner Logbook Requirements . The information or documents collected for the purpose of this Application will be accessible by authorised departmental officers and some of this information may be disclosed to the Queensland Police Service and interstate driver licensing authorities as allowed under the Act. TMR will not disclose your personal details or documents to any other third parties without your consent unless authorised or required by Does this limited road network offer any significant benefit for you to gain the 100 hours of supervised driving experience?

7 NoYe sProvide details (attach a separate sheet if required).c. Are you likely to move from the area where you live to an area with a diverse road network?Ye sNoProvide details (attach a separate sheet if required).4. No supervisor availableYe sNoGo to 5 Are you able to prove that you do not have a supervisor reasonably available to you to enable you to complete 100 hours of supervised on-road driving experience?Explain why you do not have access to a supervisor (attach separate sheet if required). You will need to provide a supporting statement see page 3 of this Application page 2 of 4 LTSR Forms Area F4469 CFD V01 Mar 2022 Exemption from Learner Logbook Requirements Application .. continued page 3 of 4 Exemption from Learner Logbook Requirements ApplicationSupporting person s nameApplicant s full nameSupporting person s relationship to applicantSupporting person s addressSupporting person s signatureDate/ /Supporting Statement Must be completed by a supporting person such as an immediate family member, carer or guardian.

8 Please photocopy or print this page as many times as you need to or provide the information on a separate sheet of contact phone numberPostcodePlease tell us why you, or another person, cannot supervise the applicant or provide a car to the applicant, to complete the 100 hours of supervised driving include all information about the applicant s circumstances that you think should be considered in assessing their give permission for TMR to contact me for any further information considered necessary for the purpose of this undertake to give any further information that TMR may ask for to verify any statements made by me in this statement. I declare that I support this Application and that, to the best of my knowledge, the information given by the applicant is complete, true and page 3 of 4 LTSR Forms Area F4469 CFD V01 Mar 2022 Applicant s driver licence numberExemption from Learner Logbook Requirements Application .

9 Continued page 4 of 4 Office use onlyOffice stamp/ Application received: Application fee receipt numberReceipting officeDo you approve this Application ?Reasons for the decisionYe sNoDelegated person s nameSignatureDatePosition/titlePage 4 of 4 LTSR Forms Area F4469 CFD V01 Mar 2022/ /DecisionCPU (Exemptions) use only