Personal information request form

If your request is in relation to documents held by the Department of Defence eg service records and medical records, please see Personal information requests | About | Defence 

You can use this form to request personal information under administrative access, APP 12, MRCA/DRCA and to correct personal information under APP13. Please specify in your application if applicable.

Before initiating a request, gather this information:

  • Make a list of all personal information being requested.
  • As an applicant, prepare 2 certified proof of identity documents (one primary and one secondary ID).
  • If submitting a request on behalf of a DVA client, prepare 2 certified proof of identity documents (one photo ID and one secondary ID) of the client.
  • If submitting a request on behalf of a DVA client, prepare a document for them to sign with the wording: 
    "I [name] residing at [address] consent to allow my DVA information to be released to [name] via [address]. By signing this document I authorise DVA to disclose the information identified in the online application made via www.dva.gov.au on [date]." followed by the client’s handwritten signature.
  • If submitting a request for a deceased client’s information, prepare proof of relationship to the client, proof of the client’s death and a copy of the will, where one is available.
  • See the DVA website for further information regarding proof of identity requirements.
Privacy collection notice

Your personal information is protected by law, including under the Privacy Act 1988 (Privacy Act).

Personal information is information or an opinion about an identified individual, or an individual who is reasonably identifiable. Personal information includes an individual’s name and contact details and may include opinion-based data.

Sensitive information is a subset of personal information. It includes information or an opinion about your racial or ethnic origin, political opinions, religious beliefs or affiliations, philosophical beliefs, membership of associations or unions, sexual orientation or practices, criminal record, or health, genetic or biometric information.

You do not have to provide any sensitive information in your application. By choosing to include sensitive information in your application, or when verifying your identity where relevant, you consent to the department collecting this information.

Who is collecting your personal information?

Your personal information is being collected by the Commonwealth of Australia, represented by the Department of Veterans’ Affairs (ABN 23 964 290 824) (‘The department’).

Purpose of collecting and using your information

Your personal information provided in this Application Form is collected for the purposes of processing your request under the Freedom of Information Act 1982. 

If you do not provide some or all of the personal information requested, the department may be unable to process your request. Where possible, the department will make then applicants aware of these limitations.

If you are making a request on behalf of someone else, please ensure you have appropriate authority to act on their behalf and provide that person with a copy of this notice. Do not submit this form on behalf of another person without appropriate authority to do so. 

Disclosure of your personal information

In general, we will not disclose the personal information you provide except in the course of processing your request. This may include disclosing your personal information to contracted service providers.

If you request documents that include personal information about other people, we may need to consult with those people before deciding whether we can disclose those documents to you. When we consult with other people about your request, it may be apparent to those people that you have made a request, even though we will not usually disclose your identity. 

If you seek external review of a decision by the department, we may need to disclose personal information about you to the external review body such as the Office of the Australian Information Commissioner.

Your personal information may also be disclosed to other parties with your agreement, or where it is otherwise permitted under the Privacy Act or other legislation. 

Your personal information is unlikely to be disclosed to overseas recipients.

Privacy policy

The department’s Privacy Policy contains more information about how the department will manage your personal information, including how to seek access to, or correction of, your personal information and how you can make a complaint related to your personal information. 

Contact details

To contact the department about a privacy related matter, please email privacy.enquiries@dva.gov.au. 

 

Fields marked with * are mandatory.

Access mechanisms. Select one, if applicable
Applicant details
Example: marriage certificate, birth certificate, proof of defacto relationship, etc (Max 1MB, pdf jpg jpeg docx).
Two certified proof of identity documents of the applicant (Max 1MB, pdf jpg jpeg docx).
  1. Primary - passport, drivers licence, birth certificate.
  2. Secondary - medicare card, senior card, or RSL membership card.
Upload a hand-signed document with the wording "This signature supports my online application for DVA information on [insert date]." followed by a signature (Max 1MB, pdf jpg jpeg docx).
Is this request being made on behalf of:
Family member details
Example: marriage certificate, birth certificate, proof of defacto relationship, etc (Max 1MB, pdf jpg jpeg docx).
Two certified proof of identity documents of family member (Max 1MB, pdf jpg jpeg docx).
  1. Primary - passport, drivers licence, birth certificate.
  2. Secondary - medicare card, senior card, or RSL membership card.
Upload a hand-signed document with the wording "I [name] residing at [address] consent to allow my DVA information to be released to [name] via [address]. By signing this document I authorise DVA to disclose the information identified in the online application made via www.dva.gov.au on [date]." followed by signature. (Max 1MB, pdf jpg jpeg docx).
Client details
Two certified proof of identity documents of the applicant (Max 1MB, pdf jpg jpeg docx).
  1. Primary - passport, drivers licence, birth certificate.
  2. Secondary - medicare card, senior card, or RSL membership card.
Two certified proof of identity documents of the applicant (Max 1MB, pdf jpg jpeg docx).
  1. Primary - passport, drivers licence, birth certificate.
  2. Secondary - medicare card, senior card, or RSL membership card.
Example: death certificate or funeral notice (Max 1MB, pdf jpg jpeg docx).
Upload a document with the wording “ I (Full name) residing at (ADDRESS) consent to allow my DVA information to be release to (Full Name) of (ADDRESS). By signing this document I authorise DVA to disclose the information identified in the online application made via www.dva.gov.au.“ Followed by Date and consenting clients Signature. (Max 1MB, pdf jpg jpeg docx).
Max 1MB, pdf jpg jpeg docx.
Request details
If you are requesting information under section 59 (DRCA) or section 331 (MRCA) please specify below. Additional information can be found on the DVA website.
o    This purpose should redirect to Income support enquiries. - Further Information to be provided.  
o    This purpose should redirect to the VANs – Further Information to be provided.  
One file only.
256 MB limit.
Allowed types: gif, jpg, jpeg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, mp4, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.
Acknowledgements