Notice of intention to attend an event (MPMR-35)

Section 35 of the Medicines and Poisons (Medicines) Regulation 2021 (MPMR) requires the holder of a general approval (emergency first aid) to give notice to the chief executive of Queensland Health (or delegate) if a registered nurse, first aid provider or paramedic intends to attend an event for the holder of the general approval — this form must be used to for this purpose.

Notice must be given no less than 2 business days before the event happens.


Collection notice

The Department of Health is collecting your information in accordance with Section 35 of the Medicines and Poisons (Medicines) Regulation 2021 in order to meet reporting requirements for a substance authority holder. Personal information collected by the Department of Health is handled in accordance with the Information Privacy Act 2009. The personal information provided by you may be disclosed to a Hospital and Health Service, Public Health Unit for the purpose of carrying out compliance activity. Your personal information will not be disclosed to other third parties without consent, unless the disclosure is authorised or required by or under law.

For any questions regarding this collection notice, please contact Medicines Approvals and Regulation Unit (MARU) via email: MARU@health.qld.gov.au For information about how the Department of Health protects your personal information, how to access or correct your own personal information, or how to make a complaint about a breach of the privacy principles and learn how we deal with such a complaint, please refer to: The Department of Health’s Privacy Policy.


Contact information

This notice is managed by Medicines Approvals and Regulation Unit (MARU). Should you require assistance in completing this form, please email: MARU@health.qld.gov.au

Required fields are marked with an asterisk (*).
1. Details of person making the notification
2. Details of substance authority holder making the notification
Expiry date *
3. Details of intention to attend event

Please provide details of events that you intend to attend. For more than 3 events, please submit additional forms.


3.1 Details of EVENT ONE
Date of engagement
Start time
End time
Start date of event
End date of event
Typical start time
Typical end time
Start date of engagement
End date of engagement
Times services will be provided
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

3.2 Details of EVENT TWO
Do you want to provide details of a second event? *
SECOND EVENT
*
*
Date of engagement
Start time
End time
Start date of event
End date of event
Typical start time
Typical end time
Start date of engagement
End date of engagement
Times services will be provided
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

3.3 Details of EVENT THREE
Do you want to provide details of a third event? *
THIRD EVENT
*
*
Date of engagement
Start time
End time
Start date of event
End date of event
Typical start time
Typical end time
Start date of engagement
End date of engagement
Times services will be provided
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

4. Additional information and attachments
Certification *

MPMR-35, Version 1

Last updated: 1 July 2025