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NSW POLICE FORCE
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Access Application
Version: March 2019
Government Information (Public Access) Act 2009
Information for Applicants
THE INFORMATION YOU ARE SEEKING MAY ALREADY BE AVAILABLE TO YOU
Details concerning decisions made by NSW Police Force (NSWPF) in response to an application made
pursuant to the
Government Information (Public Access) Act 2009 (GIPA Act), that may be of interest
to other members of the public, may be included on a Disclosure Log. The NSW Police Force's
Disclosure Log provides details of:
The date the application was decided;
A description of the information to which access was provided;
A statement as to whether the information is now available to other members of the public and
How the information can be accessed.
Consultation wil occur with an applicant prior to information being placed in the Disclosure Log.
To access NSW Police Force (NSWPF) disclosure logs or visit:
https://www.police.nsw.gov.au/online_services/requesting_information/disclosure_logs
DO YOU NEED INFORMATION RELEVANT TO AN INSURANCE CLAIM?
If you are seeking a copy of a motor vehicle crash or crime incident report (event only) that you have
reported for insurance purposes, please obtain this information through the NSWPF Insurance
Services Unit.
Visit: https://www.police.nsw.gov.au/online_services/requesting_information/request_for_incident_information
DO YOU NEED A NATIONAL POLICE CHECK CERTIFICATE?
The NSW Police Force provides an opportunity for NSW residents aged 14 years and above to apply
for a National Police Check for visa, adoption, employment (including authorisation as an authorised
carer), approval as a household member of an authorised carer, some occupational licensing
purposes, student placements and for volunteers working in Commonwealth supported aged-care
facilities.
Visit:
https://www.police.nsw.gov.au/online_services/criminal_history_check
Individuals requiring a criminal record check for Australian citizenship, residency, spouse visa,
guardianship of a child from another country, working visa or whilst travel ing or living abroad, must
apply via the Australian Federal Police (AFP). Details on applying for a criminal record check via the
AFP is available at
www.afp.gov.au. Non NSW residents must apply in the state they usual y reside.
Visit:
https://www.afp.gov.au/what-we-do/services/criminal-records/national-police-checks
DO YOU REQUIRE INFORMATION FOR A MATTER BEFORE THE COURT?
If documents are required for court proceedings, you may require a Supboena.
A Subpoena is required for documents/materials are required for court proceedings. A subpoena is a
Court order, issued at the request of a party involved in a court proceeding. Subpoenas are issued in
both criminal and civil matters by any State
or Federal court.
For further information, visit:
https://www.police.nsw.gov.au/o
nline_services/requesting_information/subpoena
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NSW POLICE FORCE
.
Access Application
Version: March 2019
Government Information (Public Access) Act 2009
CORONIAL MATTERS
If the information you require relates to a deceased person/s whose death was investigated by the
State Coroner, please contact the Coroner's Office before completing this application, on telephone
no. (02) 8584 7777, or visit the State Coroner
www.coroners.justice.nsw.gov.au (as information in
relation to Coronial matters can only be released by the Coroner’s office).
DO YOU REQUIRE ACCESS TO EMPLOYEE PERSONNEL FILES?
Supervised access to your electronic personnel file (eP-file) will be provided upon request through
your Command.
PUBLIC INTEREST CONSIDERATIONS MEAN THAT SOME INFORMATION MAY NOT BE MADE
AVAILABLE TO AN APPLICANT
The ful list of public interest considerations against disclosure can be found within the
GIPA Act, PART 2, DIVISION 2, SECTION 14 (click here to view). Some of the most
common public interest considerations against disclosure of information are listed below.
Where the information would:
reveal an individual’s personal information,
contravene an information protection principle under the Privacy and Personal Information
Protection Act 1998 or a Health Privacy Principle under the Health Records and Information
Privacy Act 2002,
prejudice any court proceedings by revealing matter prepared for the purposes of or in
relation to current or future proceedings,
prejudice the fair trial of any person, the impartial adjudication of any case or a person’s
right to procedural fairness,
reveal false or unsubstantiated al egations about a person that are defamatory,
expose a person to a risk of harm or of serious harassment or serious intimidation,
in the case of the disclosure of personal information about a child—the disclosure of
information that it would not be in the best interests of the child to have disclosed,
prejudice the prevention, detection or investigation of a contravention or possible
contravention of the law or prejudice the enforcement of the law.
INSTRUCTIONS FOR COMPLETING YOUR APPLICATION
Please complete this form to apply for access to information held by the NSWPF
pursuant to the GIPA Act. Please mark the relevant boxes with a tick.
If you require your personal information, you MUST provide a copy of your Proof of Identity
If you are making this application on behalf of another person, you MUST ensure that person
completes the ‘Authorisation’ section of this form or attach a separate authorisation
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Government Information (Public Access) Act 2009
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ACCESS APPLICATION
SECTION 1 : APPLICANT
Are you applying as an Individual or Business?
INDIVIDUAL
BUSINESS
Title
Company Name
First and Other Name(s)
Company ABN
Last Name
Your Reference Number
Previous / Other First Name(s)
Your Title / Position
Previous / Maiden Last Name(s)
Your First and Other Name(s)
Date of Birth
Your Last Name
Type of Applicant
Are you or the business acting on behalf of another person / party?
YES
NO
If so, what is the name of the person / party?
Are you applying as:
Legal Representative
Member of Parliament
Media Representative
Member of the Public
Other
Staff / Former Staff Member
Contact Details
Unit Number / Street Number / Street Name
Residential
or
Business
Suburb / Town / Locality / Post Code / State / Territory
Address
Same as Residential or Business Address, or
Unit Number / Street Number / Street Name
Postal
Address
Suburb / Town / Locality / Post Code / State / Territory
Email
Address
Contact
Number
Preferred
Alternate
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Government Information (Public Access) Act 2009
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ACCESS APPLICATION
SECTION 2 : INFORMATION REQUESTED
What information are you requesting?
Event Report(s)
Where you are requesting information for multiple Events, please supply information for each Event separately in the
‘Information Description’ section below
Event Number
Date of Incident (if known)
Who / Where Incident reported to (if known) e.g. Officer Name / Police Area Command / Police Assistance Line / Other)
Involved party / parties (if known)
Information Description
Describe the information you would like to access in enough detail to enable reasonable searches to be conducted,
e.g. car registration number, date of birth, location, Event numbers, other person(s) names, phone numbers, etc.
If your application is unclear as to the information you require, or you do not provide sufficient information, your
application may be deemed invalid.
Attach additional pages (if necessary) with any additional information that you feel wil support your application.
NOTE: If additional space is required please attach additional pages
PLEASE NOTE THAT PURSUANT TO SECTION 75 OF THE GIPA ACT,
THE NSW POLICE FORCE IS NOT REQUIRED TO CREATE A NEW DOCUMENT TO RESPOND TO YOUR APPLICATION.
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Government Information (Public Access) Act 2009
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ACCESS APPLICATION
SECTION 3 : AUTHORISATION TO RELEASE PERSONAL INFORMATION
I am seeking my personal information
There is no requirement to complete this section
OR
I am seeking the personal information of another person
To be completed by the party whose personal information is requested
I authorise the NSW Police Force to release information about me as outlined in Section 2 of this Access
Application.
I acknowledge that the information requested may include my Criminal History.
I authorise the NSWP Police Force release my personal information to the Person / Legal Representative /
Company / Agency named in Section 1 of this Access Application.
Full Name
Date of Birth
Address
Signature
Date
PLEASE NOTE: Information may not be able to be released if authorisation is not provided
SECTION 4 : PROOF OF IDENTITY – INVOLVED PARTY
If seeking access to personal information, you MUST provide copy of one of the following proof of identify documents.
This is to comply with privacy requirements.
Australian Drivers Licence – with photograph, current address and signature
Current Australian Passport – with current address
Other proof of identity (e.g. Government issued identify or proof of age card) – with current address and signature
PLEASE NOTE: Information may not be able to be released if identification requirements are not fulfil ed
SECTION 5 : APPLICATION FEE
I attach the $30.00 application fee by the fol owing payment method (Do NOT send cash)
Credit Card
Complete
d Credit Card Payment Form MUST be attached
Cheque
Cheques and Money Orders must be made payable to the NSW Police Force
Money Order
PLEASE NOTE: An Access Application cannot be deemed valid without receipt of the application fee.
SECTION 6 : PROCESSING CHARGES
A processing charge of $30.00 per hour may be applied pursuant to Section 64 of the GIPA Act. You will be notified
prior, if processing charges apply. Some applicants may be entitled to a 50% reduction in their processing charges.
Further information about this will be advised at the time of notification of additional processing charges.
Where information requested is considered ‘non‐personal’ additional charges will apply – you will be notified should
this apply to your application.
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ACCESS APPLICATION
SECTION 7 : FORM OF ACCESS
Where information is located and able to be released, how do you wish to access this information?
A copy of the document(s)
Inspect the document(s)
Access in another way (please specify)
SECTION 8 : CONSULTATION
The GIPA Act requires an agency to consult with third parties when considering the potential release of other person(s)
information (pursuant to Section 54 of the GIPA Act).
Where consultation with a third party is required, the time to respond to your application wil be extended by 10
working days.
Yes, I agree
When consulting, do you agree for this agency to provide your details as the
‘applicant’ to the other party and/or a third party?
(If you do not consent to our agency providing these details, this may impact on
No, I DO NOT agree the consulted agency’s/third party’s decision to release information).
SECTION 9 : PRIVACY STATEMENT
The NSWPF is subject to the Privacy and Personal Information Protection Act 1998 and the Health Records and
Information Privacy Act 2002 which require this agency to comply with Information and Health Privacy Principles.
Your personal information is being collected to process your application for information. The NSWPF may use your
personal information for the purposes of processing your application within the agency.
The NSWPF is required to col ect personal information directly from the individual unless the individual has authorised
col ection of the information from someone else. The NSWPF wil not disclose your personal information without your
consent unless authorised by law.
Your personal information wil be held by NSWPF at 1 Charles Street, Parramatta NSW 2150. You have the right to access
and correct the information if you believe that it is incorrect.
SECTION 10 : APPLICANT’S SIGNATURE
Applicant’s Signature
Date
SECTION 11 : APPLICATION LODGEMENT OPTIONS
NSW Police Force, InfoLink Unit
Phone: 02 8835 6888
Monday to Friday between 08.30am and 4.30pm
xxxx@xxxxxx.xxx.xxx.xx
Via Email
A credit card authority must accompany any emailed application
NSW Police Force, InfoLink Unit,
Via Post
Locked Bag 5102, Parramatta NSW 2124
APPLICANT CHECKLIST
Completed al pages of the Access Application form
Enclosed Payment
Provided proof of identity (person applications)
Completed Authorisation Section (where applicable)
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