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TMRS
F4115 TC Accreditation Application
TMRS
Current
Form F4115 – Traffic Controller Accreditation Application
Department of Transport and Main Roads · F4115 V01 May 2026
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Pages
5
Sections
24
Searchable sentences
153
Status
Current
Contents
Traffic Controller Accreditation Application
p. 1
Additional Information
p. 1
Evidence of Identity (EOI) Requirements
p. 1
Digital Photo
p. 1
1
Applicant's Details (please tick appropriate box)
p. 1
2
Current Industry Authority Information
p. 1
3
What are you applying for?
p. 1
4
Background Information
p. 1
5
Previous Industry Authority Information
p. 2
6
Traffic History
p. 2
7
Criminal History
p. 2
8
Competency Requirements
p. 2
9
Medical Fitness and Suitability Criteria
p. 2
Medical Guidelines for the Traffic Controller Accreditation Scheme
p. 3
Eyesight
p. 3
Hearing/Speech
p. 3
Mobility, Endurance and Concentration
p. 3
10
Medical Practitioner Certification
p. 3
To be completed by a Doctor
p. 3
To be completed by an Optometrist
p. 3
11
Applicant’s Declaration
p. 4
Consent to conduct enquiries
p. 4
Responsibilities as a traffic controller
p. 4
Authorising Person’s Declaration
p. 4