GIPA Act - Application

To access information held by the Department of Customer Service (including Revenue NSW), submit a request using the form below.

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 then please contact us on (02) 9219 3700 to discuss.

Your details

Proof of identity

If you are seeking access to any personal information (including your own), you will need to provide proof of identity or authorisation from the person to which the personal information belongs.

Options include:
  • Current Australian Driver's licence
  • Current Australian passport
  • Government-issued identity card
  • Letter of Authorisation (if acting on behalf of somebody)
Please attach documentation to your application.
One file only.
16 MB limit.
Allowed types: doc, docx, gif, jpg, jpeg, png, txt, rtf, pdf, ppt, pptx, xls, xlsx.

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 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?


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?


If you require assistance lodging this application you may call the GIPA team on 02 9219 3700 or send an email to

Privacy Collection Notice

Your personal information will only be used for the purpose you are providing it in this form. Please read the privacy collection notice for more information about how we handle your information.

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