Application for External Review by the Information Commissioner

Use this form if you are seeking an external review of a decision by an agency regarding the provision of information under the Government Information (Public Access) Act 2009 (GIPA Act). This includes a decision by the agency to provide or refuse to provide information.

The Information and Privacy Commission (IPC) undertakes external reviews of decisions by agencies in deciding access applications under the GIPA Act. 

If you would prefer, you can download the External Review by the Information Commissioner Application Form as a Word Document. 

We will need to contact you about the external review, so please provide your name and contact details including one contact number if possible and an email address. If you do not provide this information we may not be able to contact you should we need to about your application to us.

We will use the information you provide to assess, and undertake your external review application. We will usually provide a copy of the external review request to us, (excluding your contact details) to the agency concerned, and if necessary, others who have relevant information about the external review. By completing and submitting this form you consent to the IPC using your information for these purposes.  If you have any questions about this or need held to complete this form, please contact our enquiry line on 1800 472 679.

Your personal information will be used and stored in accordance with the Privacy and Personal Protection Information Act 1998 (NSW).

Section 1: Details
Do you require special assistance when communicating with us? If so, please select:
Does this person know you have submitted this application on their behalf?
Please tick which of the following describes your application (you may tick more than one option):
We must receive this application within 40 working days of the date the agency made a formal decision or we may not be able to help you. If we cannot help you, we will let you know what your other options are.
How did you receive the decision?
Note: If you have sought a review with NCAT, the IPC cannot review the same decision. You must seek an internal review before coming to us unless you are the person who asked for the information.
Please confirm:
Section 2: Footnotes
Section 3: Other information