Please complete this form to apply for formal access to government information under the Government Information (Public Access) Act 2009 (GIPA Act).  If you need help in filling out this form, please contact the Commission's Right to Information Officer on (02) 9859 5211.

To find out more about what options are available to you in requesting information from the Commission see our Accessing Commission Information web page.

For general information on the GIPA Act contact the Information and Privacy Commission on 1800 472 679 or www.ipc.nsw.gov.au.

Your details
Proof of identity
When seeking access to personal information, an applicant must provide proof of identity in the form of a certified copy of any one of the documents below.
Please use the upload tool above to upload your proof of identity.
Files must be less than 2 MB.
Allowed file types: gif jpg png pdf doc docx ppt pptx xlsx xml.
Government information
Note: If you do not give enough details about the information, the agency may refuse to process your application.
Form of access
If you answered 'access in another way' above, please specify here.
Application fee
Please mail your $30 application fee to: Locked Bag 5013 GLADESVILLE NSW 1675
Please specify above the payment method you have chosen.
Disclosure log
If the information sought is released to you and would be of interest to other members of the public, details about your application may be recorded in the agency’s ‘disclosure log’. This is published on the agency’s website.
Discount in processing charges
You may be asked to pay a charge for processing the application ($30 / hour). Some applicants may be entitled to a 50% reduction in their processing charges. If you wish to apply for a discount, please indicate the reason below.
Please upload supporting documentation (e.g. a pension or Centrelink card)
Files must be less than 2 MB.
Allowed file types: gif jpg png pdf doc docx ppt pptx xls xlsx xml.
Please specify the special benefit to the public.