Authority to release personal information - Personal injury, insurance, superannuation or other matter form (SI039)

Use this form to request your information or consent to us releasing your information to a third party.

You, or your nominee, can access some of your personal information using your Centrelink online account through myGov. If you don’t have an online account, you can create one. For more information, go to Centrelink online account help - Request a document.

With your consent, third party organisations can access some of your personal information using their Business Hub online account through Provider Digital Access (PRODA). For more information go to Customer Information Release service.

If the information you require isn’t available online, complete the Authority to release personal information - Personal injury, insurance, superannuation or other matter form.

We will only release personal information about you to a law firm, an insurance company, a superannuation fund, another government agency or other third party organisation, where the information sought can be disclosed under our administrative access scheme.

To fill in this form digitally you will need a computer and Adobe Acrobat Reader, or a similar program. You can download Adobe Acrobat Reader for free. If you can’t complete the form digitally, you can print it, complete it by hand and return it to us following the instructions on the form.

If you have a disability or impairment and use assistive technology, you may not be able to access our forms. If you can’t, please use self service, request someone to deal with us on your behalf, or contact us. We can help you access, complete and submit them.

Page last updated: 23 June 2024.
QC 19776