GIPA Access Information Form

To apply for formal access to University information under the Government Information (Public Access) Act 2009 (NSW) (GIPA ACT), please complete this form. If you need help filling out this form, please contact The Right to Information Officer on (02) 9678 7267 or

The application must be accompanied by the prescribed fee. Payment can be made by Visa or MasterCard using the University’s OneStop facility.

Applicant details

*I agree to receive correspondence to the above email address

Proof of Identity

*Are you seeking personal information?
If “Yes”, then provide proof of identity in the form of a certified copy of any one of the following documents:

Government Informaition

Note: If you do not give enough details about the information, the University may refuse to process your application.

Form of Access

*How do you wish to access the information?

Application Fee

*I attach payment of $30 application fee by:
Payment can be made by Visa or MasterCard using the University’s OneStop facility (Search for Right to Information), or by posting a cheque or money order to: The Right to Information Officer, Locked Bag 1797, Penrith NSW 2751
*Has the prescribed application fee been paid?

Disclosure Log

*If the information sought is released to you, and would be of interest to other members of the public, details about your application may be recorded in the University’s ‘disclosure log’. This is published on the University’s website. Do you object to this?

Discount in Processing Charges

*If locating the information will take more than 20 hours a fee of $30 per hour will be payable for each additional hour it takes to locate and provide the information. Discounts for such additional processing times may be available for those who can show evidence of hardship. If you wish to apply for a discount, please indicate the reason: