Site Changes

On 1 November 2010 the Office of the Privacy Commissioner was integrated into the Office of the Australian Information Commissioner (OAIC). An interim website for the OAIC is available at www.oaic.gov.au. This site (privacy.gov.au), which only contains information related to the OAIC's privacy function, will be maintained until a combined site is established.

Information about the new Office of the Australian Information Commissioner: www.oaic.gov.au

Complaint Form

You can make a privacy complaint by using our new online Privacy Complaint form (this form requires Adobe Reader 9.3 or later).

If you do not have access to Adobe you can instead use this downloadable Word version or just print this page and fill it out (adding additional pages if necessary).

These forms help you make a complaint about the handling of your personal information by an organisation or agency under the Privacy Act 1988.

You can make a complaint if you are complaining about a breach of your privacy or you are complaining about a breach of somebody else’s privacy on their behalf, and you have their consent to do so. Remember, the Privacy Act only applies to the information of a living individual. If you are unsure about anything, please call the OAIC Enquiries Line during office hours on 1300 363 992 to speak with an Enquiries Officer or email your questions to enquiries@oaic.gov.au.

Information about our complaint handling process can be found here.

Using a form is optional, however, it is important that you include all the information requested as far as it relates to you. Our preference is for you to use the online Privacy Complaint form if at all possible.

About You - the Complainant

Your details - please only provide the contact details that you are happy for our staff to use to contact you.

Name: Mr / Mrs / Miss / Ms / Dr
Mailing Address:

Postcode:	Email:	Mobile No:
Contact phone number during business hours:

For administrative purposes, please advise if you have lodged a complaint or enquiry with our Office before?

Yes	Please provide your previous reference number: Eg: C0001 or E0001
	If unknown please provide the mailing address you used in your previous complaint or enquiry



No

Do you have a representative with whom you would like us to discuss your complaint? For example a lawyer?

Yes	Name of Representative:
	Mailing Address:

	Phone:
	Email:
No

Please advise our office as soon as possible if any of your contact details change.

The Respondent - who you are complaining about

I am complaining about

Organisation / Agency:
Individual(s) involved (if known):
Address:

Postcode:		Phone:

If you are complaining about more than one Respondent, please provide the details on an additional page.

Have you complained to the Respondent?

The Privacy Commissioner requires that, as an initial step, you raise your complaint in writing with the Respondent and allow it 30 days to respond. Have you done this?

Yes

If Yes, what was its response, if any? Please attach a copy (not the original) of your complaint to the respondent and any letter of reply you have received.

If no, is there any reason you cannot do so?

Your Complaint

How do you believe your privacy has been breached?

Please describe the events which you allege were an interference with your privacy (attach additional sheets if necessary). We need to know:

What information the Respondent holds about you
What happened
Where it happened
When it happened (include dates)
Who did it (include names of individuals involved)
How and when you found out about it
Any other relevant details

How would you like to see your complaint resolved? What action would you like the Respondent to take to resolve your complaint?

Have you taken this complaint to another agency or organisation?

Yes	Please give details and provide copies of relevant documents.
	Name of Agency/Organisation:
	Date of Complaint:
	Is it dealing with your complaint?	Yes	No
No

Documents

Please give us copies (not the original) of any documents that may help us to investigate your complaint (for example, any correspondence or records of conversations you have had with the Respondent, including their letter of reply).

If your complaint involves your credit information file, please attach a copy of it. These may be available from Veda Advantage Information Services and Solutions by phoning 1300 762 207, (02) 9464 6000, Dun and Bradstreet on 132333 or the Tasmanian Collection Service on (03) 6223 4555.

Please sign and date this form.

Signature:

Date:

Collection Notice

We will use thes information you provide to conciliate and investigate your privacy complaint. Section 43 of the Act authorises the Office of the Australian Information Commissioner to collect information for investigations. We will usually disclose the information you give us to the Respondent and, if necessary, to others who have information relevant to your complaint. In case of a challenge to a decision we make, we may need to disclose some information to a court or to a review body like the Adminstrative Appeals Tribunal.

Office of the Australian Information Commissioner - GPO Box 5218, Sydney NSW 2001 - Facsimile +61 2 9284 9666