Family history request form

Community and Personal Histories was established to assist Aboriginal and Torres Strait Islander peoples with finding Queensland state government records about themselves and their families.

Community and Personal Histories research staff may be able to help you with establishing evidence of your Aboriginal or Torres Strait Islander descent or heritage. However, Community and Personal Histories cannot provide you with a 'proof of Aboriginality' or 'proof of Torres Strait Islander heritage'. Read more about the steps involved in obtaining proof of Aboriginal and/or Torres Strait Islander heritage.

• Attachments must be less than 5MB in total.
• Approved file types are .doc .docx .pdf .odf .jpg .jpeg .bmp .tif .tiff .png .xls .xlsx

Privacy Statement

The Department of Women, Aboriginal and Torres Strait Islander Partnerships and Multiculturalism is collecting information through this form to facilitate your application under the Community and Personal Histories Access Policy and for the purpose of administering that Policy, including researching your personal, community or native title research request. The Department will collect, store, use and disclose personal information collected through this form in accordance with the Information Privacy Act 2009, this privacy statement and the Department’s privacy policy.

Personal information in this application may be provided to Registries of Births, Deaths and Marriages; Queensland State Archives; State Library of Queensland and the National Archives of Australia for the purpose of locating documents relevant to your request.

Your personal information may be transferred overseas if a service provider who provides support services to the Department has servers located overseas (if applicable). If you access, complete and submit this form online from outside Australia, you will be transferring your personal information overseas, at least to the device you use at the time you are submitting the form.

Unless authorised or required by law, your personal information will not otherwise be disclosed to any other third party without your consent or as otherwise described in this privacy statement. By submitting this application, you acknowledge that you understand and agree that your personal information is being collected, used and disclosed as described in this privacy notice.

1. Are you over the age of 18? *

   • Yes
   • No

2. (If you chose 'No' above)

   Under the age of 18

   If you are under the age of 18 and need family history information, please ring our free call number 1800 650 230.

3. Are you of Aboriginal and/or Torres Strait Islander and/or South Sea Islander, descent? * (If you chose 'Yes' above)

   • Yes
   • No
   • Unsure

4. (If you chose 'No' above)

   Access to records

   Community and Personal Histories provide access to records about Aboriginal and Torres Strait Islander peoples in the Department's custody while protecting the privacy of Aboriginal and Torres Strait Islander peoples who are mentioned in the records.

   You do not need to be of Aboriginal and/or Torres Strait Islander and/or South Sea Islander descent to request access to the Department's records.

   If you have a research query, please contact Community and Personal Histories research staff on free call number 1800 650 230.

5. Please provide details: (If you chose 'Unsure' above)
6. Did your ancestors live in Queensland?

   *

   • Yes
   • No

7. (If you chose 'No' above)

   Queensland government records

   Community and Personal Histories can only help with access to Queensland government records.

8. Were you traditionally adopted in Queensland? * (If you chose 'Yes' above)

   • Yes
   • No
   • Unsure

9. (If you chose 'Yes' above)

   Traditional adoptions

   Information about traditional Torres Strait Islander adoptions (which were not legally registered) will only be released if you already know who your biological parents are, and you have permission from them, or their adult next-of-kin.

   Information about the traditional adoption of other family members who are now deceased will only be released after consultation with the family and/or community elders.

   Call the Community and Personal Histories team on free call number 1800 650 230 for assistance.

10. Please provide details: (If you chose 'Unsure' above)
11. Were you legally adopted in Queensland? * (If you chose 'Yes' above)

    • Yes
    • No
    • Unsure
12. Please provide details: (If you chose 'Unsure' above)
13. Have you received your identifying information from Adoption Services? * (If you chose 'Yes' above)

    • Yes
    • No

14. (If you chose 'No' above)

    Legal adoptions

    If you are requesting information about your own legal adoption in Queensland you will need to provide Community and Personal Histories with a copy of your identifying information from Adoption Services Queensland.

15. Details of direct family members

    • If you need help with this form, please call the Community and Personal Histories free call number 1800 650 230.

    1. Your identifying information

       1. * Attach your identifying information from Adoption Services What is identifying information? Acceptable file types: doc .docx .pdf .odf .jpg .jpeg .bmp .tif .tiff .png .xls .xlsx Must be less than 5MB in size
    2. Your details

       1. Your name

          1. Your full name *
          2. Maiden name
          3. Other names you are known by
       2. Address

          1. Address line 1 *
          2. Address line 2
          3. Address line 3
          4. 1. Town, city or suburb *
             2. State *
             3. Postcode *
          5. Country *
       3. Contact phone number * Home, mobile or work number
       4. Email Example: jane.smart@example.com
       5. Your details Please provide as much information as you can

          *

          • Date of birth
          • Place of birth
       6. Your date of birth (if unsure, please provide a year or enter 'unknown') * (If you chose 'Your date of birth' above)
       7. Your place of birth (if unsure, please enter 'unknown') * (If you chose 'Your place of birth' above)
       8. Do you have any brothers and/or sisters? *

          • Yes
          • No
       9. List the names of your brothers and sisters Please indicate if they are deceased or living (If you chose 'Yes' above)
    3. Your mother's details

       1. Your mother's name

          1. Your mother's full name (if unsure, enter "unknown") *
          2. Maiden name
          3. Other names your mother was/is known by
       2. Your mother's details Please provide as much information as you can

          *

          • Date of birth
          • Place of birth
          • Date of death (if applicable)
       3. Date of birth of your mother (if unsure, please provide a year or enter 'unknown') * (If you chose 'Mother date of birth' above)
       4. Place of birth of your mother (if unsure, please enter 'unknown') * (If you chose 'Mother place of birth' above)
       5. Date of death of your mother (If you chose 'Mother date of death' above)
    4. Your father's details

       1. Your father's name

          1. Your father's full name (if unsure, enter "unknown") *
          2. Other names your father was/is known by
       2. Your father's details Please provide as much information as you can

          *

          • Date of birth
          • Place of birth
          • Date of death (if applicable)
       3. Date of birth of your father (if unsure, please provide a year or enter 'unknown') * (If you chose 'Father date of birth' above)
       4. Place of birth of your father (if unsure, please enter 'unknown') * (If you chose 'Father place of birth' above)
       5. Date of death of your father (If you chose 'Father date of death' above)
    5. Does your enquiry relate to a Native Title Claim? *

       • Yes
       • No

    6. If your request is related to a native title claim/s, please only tick the side/s of your family which specifically relates to the native title claim/s. You must lodge a separate family history request for non-native title family history information.

    7. Name of Native Title claim/s *
    8. Date the information is required *
    9. Are you being represented by a private lawyer or a Native Title Representative Body for this claim? e.g. Queensland South Native Title Services - QSNTS, North Queensland Land Council - NQLC, Cape York Land Council - CYLC (If you chose 'Yes' above) *

       • Yes
       • No
    10. Details of private lawyer or a Native Title Representative Body (If you chose 'Yes' above)

        1. Name *
        2. Phone *
        3. Email
    11. Do you know who your apical ancestor/s are for this claim/s? e.g. through which ancestor/s do you connect to this claim. *

        • Yes
        • No
        • Unsure
    12. How do you connect to the claim/s? * e.g. I connect to the claim through my great grandmother. (If you chose 'Yes' above)
    13. Do you need the information by a specific date? *

        • Yes
        • No
    14. I need information by: * e.g. Need information by July 2016 for a court date. (If you chose 'Yes' above)
    15. Request family history

        1. I would like to request my family history on

           *

           • my mother's side
           • my father's side
    16. Fathers's side (If you chose 'Father side' above)

        1. Your father's mother

           1. Full name of your father's mother (if unsure, enter "unknown") *
           2. Maiden name
           3. Other names your father's mother is/was known by
        2. Details of your father's mother Please provide as much information as you can

           • Date of birth
           • Place of birth
           • Date of death (if applicable)
        3. Date of birth of your father's mother (if unsure, please provide a year if possible) (If you chose 'Father mother date of birth' above)
        4. Place of birth of your father's mother (If you chose 'Father mother place of birth' above)
        5. Date of death of your father's mother (If you chose 'Father mother date of death' above)
        6. Your father's father

           1. Full name of your father's father (if unsure, enter "unknown") *
           2. Other names your father's father is/was known by
        7. Details of your father's father Please provide as much information as you can

           • Date of birth
           • Place of birth
           • Date of death (if applicable)
        8. Date of birth of your father's father (if unsure, please provide a year if possible) (If you chose 'Father father date of birth' above)
        9. Place of birth of your father's father (If you chose 'Father father place of birth' above)
        10. Date of death of your father's father (If you chose 'Father father date of death' above)
        11. Names of your father's brothers and/or sisters Please tell us if they are deceased or living
        12. If known, add details for

            • your great-grandparents (on your father's side)
            • your great-great-grandparents (on your father's side)
        13. Your great-grandparents (on your father's side) (If you chose 'Your great-grandparents' above)

            1. Your grandmother's mother

               1. Full name of your grandmother's mother (if unsure, enter "unknown")
               2. Maiden name
               3. Other names your grandmother's mother is/was known by
            2. Details of your grandmother's mother Please provide as much information as you can

               • Date of birth
               • Place of birth
               • Date of death (if applicable)
            3. Date of birth of your grandmother's mother (if unsure, please provide a year if possible) (If you chose 'Grandmother mother date of birth' above)
            4. Place of birth of your grandmother's mother (If you chose 'Grandmother mother place of birth' above)
            5. Date of death of your grandmother's mother (If you chose 'Grandmother mother date of death' above)
            6. Your grandmother's father

               1. Full name of your grandmother's father (if unsure, enter "unknown")
               2. Other names your grandmother's father is/was known by
            7. Details of your grandmother's father Please provide as much information as you can

               • Date of birth
               • Place of birth
               • Date of death (if applicable)
            8. Date of birth of your grandmother's father (if unsure, please provide a year if possible) (If you chose 'Grandmother father date of birth' above)
            9. Place of birth of your grandmother's father (If you chose 'Grandmother father place of birth' above)
            10. Date of death of your grandmother's father (If you chose 'Grandmother father date of death' above)

            1. Your grandfather's mother

               1. Full name of your grandfather's mother (if unsure, enter "unknown")
               2. Maiden name
               3. Other names your grandfather's mother is/was known by
            2. Details of your grandfather's mother Please provide as much information as you can

               • Date of birth
               • Place of birth
               • Date of death (if applicable)
            3. Date of birth of your grandfather's mother (if unsure, please provide a year if possible) (If you chose 'Grandfather mother date of birth' above)
            4. Place of birth of your grandfather's mother (If you chose 'Grandfather mother place of birth' above)
            5. Date of death of your grandfather's mother (If you chose 'Grandfather mother date of death' above)
            6. Your grandfather's father

               1. Full name of your grandfather's father (if unsure, enter "unknown")
               2. Other names your grandfather's father is/was known by
            7. Details of your grandfather's father Please provide as much information as you can

               • Date of birth
               • Place of birth
               • Date of death (if applicable)
            8. Date of birth of your grandfather's father (if unsure, please provide a year if possible) (If you chose 'Grandfather father date of birth' above)
            9. Place of birth of your grandfather's father (If you chose 'Grandfather father place of birth' above)
            10. Date of death of your grandfather's father (If you chose 'Grandfather father date of death' above)
            11. Names of your grandfather's brothers and/or sisters Please indicate if they are deceased or living
        14. Your great-great-grandparents (on your father's side) (If you chose 'Your great-great-grandparents' above)

            1. Your great-great-grandmother

               1. Full name of your great-great-grandmother (if unsure, enter "unknown")
               2. Maiden name
               3. Other names your great-great-grandmother was known by
            2. Details of your great-great-grandmother. Please provide as much information as you can

               • Date of birth
               • Place of birth
               • Date of death (if applicable)
            3. Date of birth of your great-great-grandmother (if unsure, please provide a year if possible) (If you chose 'Great-great-grandmother date of birth' above)
            4. Place of birth of your great-great-grandmother (If you chose 'Great-great-grandmother place of birth' above)
            5. Date of death of your great-great-grandmother (If you chose 'Great-great-grandmother date of death' above)
            6. Your great-great-grandfather

               1. Full name of your great-great-grandfather (if unsure, enter "unknown")
               2. Other names your great-great-grandfather was known by
            7. Details of your great-great-grandfather Please provide as much information as you can

               • Date of birth
               • Place of birth
               • Date of death (if applicable)
            8. Date of birth of your great-great-grandfather (if unsure, please provide a year if possible) (If you chose 'Great-great grandfather date of birth' above)
            9. Place of birth of your great-great-grandfather (If you chose 'Great-great grandfather place of birth' above)
            10. Date of death of your great-great-grandfather (If you chose 'Great-great grandfather date of death' above)

            1. Your great-great-grandmother

               1. Full name of your great-great-grandmother(if unsure, enter "unknown")
               2. Maiden name
               3. Other names your great-great-grandmother is/was known by
            2. Details of your great-great-grandmother Please provide as much information as you can

               • Date of birth
               • Place of birth
               • Date of death (if applicable)
            3. Date of birth of your great-great-grandmother (if unsure, please provide a year if possible) (If you chose 'Great-great-grandmother date of birth' above)
            4. Place of birth of your great-great grandmother (If you chose 'Great-great-grandmother place of birth' above)
            5. Date of death of your great-great grandmother (If you chose 'Great-great-grandmother date of death' above)
            6. Your great-great-grandfather

               1. Full name of your great-great-grandfather (if unsure, enter "unknown")
               2. Other names your great-great-grandfather was known by
            7. Details of your great-great-grandfather Please provide as much information as you can

               • Date of birth
               • Place of birth
               • Date of death (if applicable)
            8. Date of birth of your great-great-grandfather (if unsure, please provide a year if possible) (If you chose 'Great-great-grandfather date of birth' above)
            9. Place of birth of your great-great-grandfather (If you chose 'Great-great-grandfather place of birth' above)
            10. Date of death of your great-great-grandfather (If you chose 'Great-great-grandfather date of death' above)
    17. Mother's side (If you chose 'Mother side' above)

        1. Your mother's mother

           1. Full name of your mother's mother (if unsure, enter "unknown") *
           2. Maiden name
           3. Other names your mother's mother is/was known by
        2. Details of your mother's mother Please provide as much information as you can

           • Date of birth
           • Place of birth
           • Date of death (if applicable)
        3. Date of birth of your mother's mother (if unsure, please provide a year if possible) (If you chose 'Mother mother date of birth' above)
        4. Place of birth of your mother's mother (If you chose 'Mother mother place of birth' above)
        5. Date of death of your mother's mother (If you chose 'Mother mother date of death' above)
        6. Your mother's father

           1. Full name of your mother's father (if unsure, enter "unknown") *
           2. Other names your mother's father is/was known by
        7. Details of your mother's father Please provide as much information as you can

           • Date of birth
           • Place of birth
           • Date of death (if applicable)
        8. Date of birth of your mother's father (if unsure, please provide a year if possible) (If you chose 'Mother father date of birth' above)
        9. Place of birth of your mother's father (If you chose 'Mother father place of birth' above)
        10. Date of death of your mother's father (If you chose 'Mother father date of death' above)
        11. Names of your mother's brothers and/or sisters Please tell us if they are deceased or living
        12. If known, add details for

            • your great-grandparents (on your mother's side)
            • your great-great-grandparents (on your mother's side)
        13. Your great-grandparents (on your mother's side) (If you chose 'Your great-grandparents' above)

            1. Your grandmother's mother

               1. Full name of your grandmother's mother (if unsure, enter "unknown")
               2. Maiden name
               3. Other names your grandmother's mother is/was known by
            2. Details of your grandmother's mother Please provide as much information as you can

               • Date of birth
               • Place of birth
               • Date of death (if applicable)
            3. Date of birth of your grandmother's mother (if unsure, please provide a year if possible) (If you chose 'Grandmother mother date of birth' above)
            4. Place of birth of your grandmother's mother (If you chose 'Grandmother mother place of birth' above)
            5. Date of death of your grandmother's mother (If you chose 'Grandmother mother date of death' above)
            6. Your grandmother's father

               1. Full name of your grandmother's father (if unsure, enter "unknown")
               2. Other names your grandmother's father is/was known by
            7. Details of your grandmother's father Please provide as much information as you can

               • Date of birth
               • Place of birth
               • Date of death (if applicable)
            8. Date of birth of your grandmother's father (if unsure, please provide a year if possible) (If you chose 'Grandmother father date of birth' above)
            9. Place of birth of your grandmother's father (If you chose 'Grandmother father place of birth' above)
            10. Date of death of your grandmother's father (If you chose 'Grandmother father date of death' above)

            1. Your grandfather's mother

               1. Full name of your grandfather's mother (if unsure, enter "unknown")
               2. Maiden name
               3. Other names your grandfather's mother is/was known by
            2. Details of your grandfather's mother Please provide as much information as you can

               • Date of birth
               • Place of birth
               • Date of death (if applicable)
            3. Date of birth of your grandfather's mother (if unsure, please provide a year if possible) (If you chose 'Grandfather mother date of birth' above)
            4. Place of birth of your grandfather's mother (If you chose 'Grandfather mother place of birth' above)
            5. Date of death of your grandfather's mother (If you chose 'Grandfather mother date of death' above)
            6. Your grandfather's father

               1. Full name of your grandfather's father (if unsure, enter "unknown")
               2. Other names your grandfather's father is/was known by
            7. Details of your grandfather's father Please provide as much information as you can

               • Date of birth
               • Place of birth
               • Date of death (if applicable)
            8. Date of birth of your grandfather's father (if unsure, please provide a year if possible) (If you chose 'Grandfather father date of birth' above)
            9. Place of birth of your grandfather's father (If you chose 'Grandfather father place of birth' above)
            10. Date of death of your grandfather's father (If you chose 'Grandfather father date of death' above)
            11. Names of your grandfather's brothers and/or sisters Please indicate if they are deceased or living
        14. Your great-great-grandparents (on your mother's side) (If you chose 'Your great-great-grandparents' above)

            1. Your great-great-grandmother

               1. Full name of your great-great-grandmother (if unsure, enter "unknown")
               2. Maiden name
               3. Other names your great-great-grandmother was known by
            2. Details of your great-great-grandmother. Please provide as much information as you can

               • Date of birth
               • Place of birth
               • Date of death (if applicable)
            3. Date of birth of your great-great-grandmother (if unsure, please provide a year if possible) (If you chose 'Great-great-grandmother date of birth' above)
            4. Place of birth of your great-great-grandmother (If you chose 'Great-great-grandmother place of birth' above)
            5. Date of death of your great-great-grandmother (If you chose 'Great-great-grandmother date of death' above)
            6. Your great-great-grandfather

               1. Full name of your great-great-grandfather (if unsure, enter "unknown")
               2. Other names your great-great-grandfather was known by
            7. Details of your great-great-grandfather Please provide as much information as you can

               • Date of birth
               • Place of birth
               • Date of death (if applicable)
            8. Date of birth of your great-great-grandfather (if unsure, please provide a year if possible) (If you chose 'Great-great grandfather date of birth' above)
            9. Place of birth of your great-great-grandfather (If you chose 'Great-great grandfather place of birth' above)
            10. Date of death of your great-great-grandfather (If you chose 'Great-great grandfather date of death' above)

            1. Your great-great-grandmother

               1. Full name of your great-great-grandmother(if unsure, enter "unknown")
               2. Maiden name
               3. Other names your great-great-grandmother is/was known by
            2. Details of your great-great-grandmother Please provide as much information as you can

               • Date of birth
               • Place of birth
               • Date of death (if applicable)
            3. Date of birth of your great-great-grandmother (if unsure, please provide a year if possible) (If you chose 'Great-great-grandmother date of birth' above)
            4. Place of birth of your great-great grandmother (If you chose 'Great-great-grandmother place of birth' above)
            5. Date of death of your great-great grandmother (If you chose 'Great-great-grandmother date of death' above)
            6. Your great-great-grandfather

               1. Full name of your great-great-grandfather (if unsure, enter "unknown")
               2. Other names your great-great-grandfather was known by
            7. Details of your great-great-grandfather Please provide as much information as you can

               • Date of birth
               • Place of birth
               • Date of death (if applicable)
            8. Date of birth of your great-great-grandfather (if unsure, please provide a year if possible) (If you chose 'Great-great-grandfather date of birth' above)
            9. Place of birth of your great-great-grandfather (If you chose 'Great-great-grandfather place of birth' above)
            10. Date of death of your great-great-grandfather (If you chose 'Great-great-grandfather date of death' above)
    18. Extended family members

        1. Would you like to request family history for extended family members? *

           • Yes
           • No
        2. Extended family member's details (If you chose 'Yes' above)

           1. Name

              1. Full name
              2. Maiden name
              3. Relationship to you
           2. Family member's details Please provide as much information as you can

              • Date of birth
              • Place of birth
              • Date of death
           3. Date of birth (if unsure, please provide a year if possible) (If you chose 'Family member date of birth' above)
           4. Place of birth (If you chose 'Family member place of birth' above)
           5. Date of death (if applicable) (If you chose 'Family member date of death' above)
           6. • Add another extended family member
        3. Extended family member's details (If you chose 'Add another extended family member' above)

           1. Name

              1. Full name
              2. Maiden name
              3. Relationship to you
           2. Family member's details Please provide as much information as you can

              • Date of birth
              • Place of birth
              • Date of death
           3. Date of birth (if unsure, please provide a year if possible) (If you chose 'Family member date of birth' above)
           4. Place of birth (If you chose 'Family member place of birth' above)
           5. Date of death (if applicable) (If you chose 'Family member date of death' above)
           6. • Add another extended family member
        4. Extended family member's details (If you chose 'Add another extended family member' above)

           1. Name

              1. Full name
              2. Maiden name
              3. Relationship to you
           2. Family member's details Please provide as much information as you can

              • Date of birth
              • Place of birth
              • Date of death
           3. Date of birth (if unsure, please provide a year if possible) (If you chose 'Family member date of birth' above)
           4. Place of birth (If you chose 'Family member place of birth' above)
           5. Date of death (if applicable) (If you chose 'Family member date of death' above)
           6. • Add another extended family member
        5. Extended family member's details (If you chose 'Add another extended family member' above)

           1. Name

              1. Full name
              2. Maiden name
              3. Relationship to you
           2. Family member's details Please provide as much information as you can

              • Date of birth
              • Place of birth
              • Date of death
           3. Date of birth (if unsure, please provide a year if possible) (If you chose 'Family member date of birth' above)
           4. Place of birth (If you chose 'Family member place of birth' above)
           5. Date of death (if applicable) (If you chose 'Family member date of death' above)
           6. • Add another extended family member
        6. Extended family member's details (If you chose 'Add another extended family member' above)

           1. Name

              1. Full name
              2. Maiden name
              3. Relationship to you
           2. Family member's details Please provide as much information as you can

              • Date of birth
              • Place of birth
              • Date of death
           3. Date of birth (if unsure, please provide a year if possible) (If you chose 'Family member date of birth' above)
           4. Place of birth (If you chose 'Family member place of birth' above)
           5. Date of death (if applicable) (If you chose 'Family member date of death' above)
           6. • Add another extended family member
        7. Extended family member's details (If you chose 'Add another extended family member' above)

           1. Name

              1. Full name
              2. Maiden name
              3. Relationship to you
           2. Family member's details Please provide as much information as you can

              • Date of birth
              • Place of birth
              • Date of death
           3. Date of birth (if unsure, please provide a year if possible) (If you chose 'Family member date of birth' above)
           4. Place of birth (If you chose 'Family member place of birth' above)
           5. Date of death (if applicable) (If you chose 'Family member date of death' above)