FORM 4B
QUEENSLAND
Weapons Act 1990
Sections 24, 94 and 104
Ver. 2 — 07/04/09
1. NOMINATE CHANGE(S)
2. LICENCE, PERMIT OR APPROVAL NUMBER(S) AFFECTED BY THIS CHANGE
Place a cross in
applicable box(es).
4. BUSINESS DETAILS (Complete this section only if applicable)
Family name
Given name(s)
Date of birth
MonthDay Year
3. LICENSEE/REPRESENTATIVE DETAILS
5. DETAILS OF CHANGE
Form 4B Change of Weapon(s) Category/Condition(s) of a Licence, Permit or Approval Page 1 of 2
Contact details
Postal address
(if different from above)
Residential address
Work
FaxHome
Mobile
Email
Property name/
Lot on plan
Street number
and name
Postal Address
(e.g., PO Box)
Outline the details, including the reason(s) for the change(s) in the space provided. If insufcient space, complete
further information on a blank page and attach to this form. You may also provide supporting documentation.
Refer to specic requirements in Section 6 of this form.
Suburb/Locality
Suburb/Locality
State
State
Postcode
Postcode
How long have you
lived at this address?
MonthsYears
Registered
business name
This section only applies
if the applicant is a body
e.g., a shooting club,
organisation or gallery
operator, security industry
etc.
Change of weapon(s) category
Change of condition(s) of a licence, permit or approval
Property name/Lot on
plan (RP no.) can be
found on rates notice.
• CHANGE OF WEAPON(S) CATEGORY AND/OR
• CHANGE OF CONDITION(S) OF A LICENCE, PERMIT OR APPROVAL
(NB —For this form, ‘permit’ refers to a Shooting Club/Range, Historical Society, Weapons Club and Shooting Gallery.)
*--0006*
0006
*--0008*
0008
Change of Weapons Category
Licence holders—Provide a ‘Statement of Attainment’ as proof of your successful completion of an approved
course in safety training for weapons or approved training security licence (guard) issued within the last twelve
months for the category of weapons you wish to change.
Note: This requirement includes collectors wishing to possess temporarily inoperable category H weapons.
Adding Categories C and/or D or Category H for Primary Production—Provide a completed Form 1
Annexure for Rural Purpose/Primary Producer/Recreational Fishing, ensuring Section 1. DESCRIBE THE
RURAL PROPERTY is completed, including additional requirements for Categories C, D or H. This Annexure
can be located and printed from http://www.police.qld.gov.au/programs/weaponsLicensing/fees/forms/
renewforms.htm.
Permit/Approval holders—Supporting documentation may not be required for an application for change(s)
of weapons category for holders of permit(s) and/or approval(s), unless you are applying for category C
shotgun use. If you are applying for category C shotgun, you must provide proof of afliation with a national or
international clay shooting competition.
Change of condition(s)
Collectors of temporarily inoperable handguns–
• Provide a QP 0517 Approved Historical Society Declaration.
Collectors of temporarily inoperable modern collectable handguns–
• Provide a QP 0517 Approved Historical Society Declaration; AND
• Correspondence outlining your prolonged and genuine interest in the study, preservation or collection of
rearms.
Sports or target shooting category H weapons greater than .38 calibre–
• Provide a letter on club letterhead stating that you are a current nancial member of the club, and verifying
that you have participated in specic accredited events.
Other licence holders—Supporting documentation for change of licence conditions may include a copy of your:
• Commercial Wildlife Harvesting licence; OR
• Certicate of Accreditation issued by Safefood Queensland.
Permit or Approval holders—Supporting documentation may not be required for an application for change(s)
of conditions for holders of permit(s) and/or approval(s), including applications for additional weapons categories
for shooting club permit, or shooting club range, or additional shooting matches for shooting range approval.
Contact Weapons Licencing on 3015 7777 for further assistance if required.
Annexure—Please conrm your change of genuine reason by providing the required documentation and
information to support your application. Relevant annexure can be located and printed from http://www.police.
qld.gov.au/programs/weaponsLicensing/fees/forms/renewforms.htm.
Form 4B Change of Weapon(s) Category/Condition(s) of a Licence, Permit or Approval Page 2 of 2
6. SUPPORTING DOCUMENTATION
7. CERTIFICATION
I certify that the information I have given is true and correct in every detail and have attached all
required documentation.
Signature of licensee/representative
MonthDay Year
Date
The necessary information has been completed and supporting documentation, where required, is attached.
8. POLICE STATION USE ONLY
Name of receiving station
MonthDay Year
Date
OfcerinCharge
MonthDay Year
Date
Name
Rank and Reg. No.
Signature
MonthDay Year
Date
Name
Rank and Reg. No./
Level and payroll no.
Signature
Receiving member
Police station receipt no.
Privacy Collection Statement
The collection of this information is authorised by the Weapons Act 1990. The information will be used for the administration and enforcement of the Weapons Act 1990. The information
you provide will not be used or disclosed without your consent unless such use or disclosure is authorised or required by law, including the Weapons Act 1990 (Qld), Police Service
Administration Act 1990 (Qld) and the Information Privacy Act 2009 (Qld). You have a right to access personal information that the QPS holds about you, subject to any exceptions in
relevant legislation. If you wish to seek access to your personal information or inquire about the handling of your personal information, please contact PSBA Right to Information and
Privacy by email at rti@police.qld.gov.au or by telephone 07 3364 4666.
2015