GIPA Act - Application

To request information held by the Department of Customer Service, including Revenue NSW, please submit the form below. 

For information held by other agencies, such as Transport for NSW or NSW Police, you will need to apply directly to those agencies.

Avoid processing delays

We encourage you to pay the $30 application fee by EFT to avoid delays in processing your application. If you are unable to pay in this way, please email us to discuss.

Your details
GIPA contact follow up

Application fee

The fee for a GIPA application is $30. This fee must be paid to successfully lodge an application.

Payment options

Post cheque or money order with the application form (PDF 186.16KB) payable to Department of Customer Service.

EFT please follow payment instructions below.
Subject description: Your surname - GIPA application fee
Pay: Department of Customer Service
ABN: 81 913 830 179
Bank: Westpac
BSB: 032 001
Account number: 203164

Payment type
Government information
Please describe in detail the information you would like to access. If you do not provide enough detail we may not be able to process your application.

Discount of processing charges

You may be asked to pay a fee of $30 an hour for processing your application. Some applicants may be entitled to a 50% reduction of processing charges on the grounds of personal hardship or because the information sought is of special interest to the public. If you wish to apply for a discount on the processing charges, please indicate the reason:

  • For financial hardship, please attach supporting documentation - copy of pension, Department of Human Services or student card
  • For not-for-profit organisation, please attach supporting documentation
  • For special benefit to the public, please attach supporting documentation
Discount reason
One file only.
16 MB limit.
Allowed types: pdf, doc, docx.

Disclosure log

If the information you have requested 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. We will not publish personal information on the log.

Do you object to this?
Accessing the information
How do you wish to access the information?

Consultation

We may need to consult with third parties before deciding your application. Please indicate in the boxes below whether you consent to the release of the following information to any third parties. This information will assist any third parties to understand why you are seeking the information.

Your name?
Details of information you are seeking?

Contact

If you require assistance lodging this application, you may send an email to gipa@customerservice.nsw.gov.au.

Privacy Collection Notice

This form collects personal information. Please read the privacy collection notice for more information about how we handle your information.   

Department of Customer Service (we, us) is collecting your personal information (your information) through this form.

Why are we collecting your information?

We are collecting your information to process your request to access information under the Government Information (Public Access) Act 2009 (GIPA). To process your request, we require certain information from you, as outlined in Part 4 of the GIPA Act, for example: your name and your postal/email address.

How will we share your information?

We may share your information or information about your application with another agency (a) which holds or is likely to hold the information you have requested; and / or (b) for the purposes of consultation under the GIPA Act; and / or (c) as part of internal or Ministerial reporting in relation to GIPA requests received by us. We will not share it with anyone else unless you give your consent, or the law requires or allows us to do so. 

Are you required by law to give us your information?

You are not required by law to give us your information, but if you choose not to, we may not be able to process your request to access information under the Government Information (Public Access) Act 2009 (GIPA). To process your request, we require certain information from you, as outlined in Part 4 of the GIPA Act, for example: your name and your postal/email address.

Your right to access and correct your information

To access or correct your information, please contact:

Privacy Team

Department of Customer Services
2-24 Rawson Place
Sydney NSW 2000
Australia

Privacy@customerservice.nsw.gov.au

Further information

This form is hosted on the nsw.gov.au website managed by the Department of Customer Service.  For more details on how your information is handled on the nsw.gov.au website, please refer to the Privacy statement | NSW Government.
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