⁠⁠GIPA Act – access application

Complete this form to make a formal application for government information held by the Department of Planning, Housing and Instructure (DPHI) under the Government Information (Public Access) Act 2009 (GIPA Act).

Listen

On this page

Government Information (Public Access) Act 2009

If you need help completing this form, contact the Department's GIPA team on 02 9860 1440 or at gipa@dpie.nsw.gov.au. For further information, visit Right to information.

If you are requesting information held by a local council or a Government agency other than DPHI, you should refer to their website for details on how to apply to them directly.

Important information about this form

You cannot save a draft of this form and access it later — you will need to create and submit the form in one session.

You will be provided with an electronic copy of the information submitted to your email address.

The fields marked with an asterisk * are mandatory and must be completed in order to submit the form.

Required field

Step 1 of 9

If you need help filling out this form, phone the GIPA team on 02 9860 1440.

Personal details

First name

Last name

Organisation / person being represented

Postal address

Daytime phone

Note: All correspondence will be sent to the above email address.

If the information you seek concerns a third party, then the Department must undertake consultations with all relevant parties. To decide if they have concerns, third parties may find it helpful to know who the applicant is.

Do you agree to the Department telling third parties who you are?

Yes

I agree and I give permission for the Department to give my name to third parties.

I object to my name being provided to third parties.

If you have applied at any time to another agency for substantially the same information, provide the name of the other agency.

Privacy Collection Notice

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

I confirm that the information I have provided is directly relevant to the completion of this form, and if I provide the personal information of another person, I have obtained that person's authorisation to do so and to submit this form. Please read the privacy collection notice for more information about how we handle your information.

The application fee of $30 is required to make your application valid, unless the payment of the fee has been reduced or waived.

Top