OFFICIAL: Sensitive - Personal
You may use this form to request access to your personal records under section 14 of the Privacy and Personal Information Protection Act 1998 or under
section 26 of the Health Records and Information Privacy Act 2002. If you need help in filling out this form, please contact Service NSW on 13 22 13.
To check the current fees payable visit roads-waterways.transport.nsw.gov.au, attend your nearest registry, service centre or call our Contact Centre on
13 22 13.
Hearing or speech impaired? Call us on the National Relay Service: TTY users phone 13 36 77 then ask for 13 22 13. Speak and Listen users phone
1300 555 727 and ask for 13 22 13.
WHEN TO USE THIS FORM
• Use this Form to check that we have recorded your personal details correctly.
• If you want us to search for and provide copies of your information rather than just check your details then use Form 5166 - Government Information
(Public Access) Act Application.
• If you require other information then please use Form 5166 Government Information (Public Access) Act Application
• If you are a solicitor seeking information please use Form 1046 - Motor Vehicle Accidents or Form 1757 - Marine Accidents
Access to Own Personal Records
Please describe the information you would like to access in enough detail to allow us to identify it (attach additional pages if
necessary). Note: If you do not give enough details about the information, Transport for NSW may refuse to process your
Details of Applicant
When seeking access to personal information, an applicant MUST provide proof of identity (POI) in the form of one of the following
Australian driver licence Current Australian passport Other
Catalogue No. 45062918 Form No. 943 (06/2021) Page 1 of 2
Transport for NSW is committed to protecting your privacy and ensuring your personal and health information is managed according to law. Find out
why we collect your personal information, including how we use and manage it, by reading our privacy statement at www.transport.nsw.gov.au/
privacy-statement or phone 13 22 13 to request a copy.
Applicant's signature: Date:
Personal Information Collection Notice
Mr / Mrs / Miss / Ms: Driver licence/Transport for NSW customer number:
Australian postal address:
Daytime telephone number(s): Facsimile:
Transport for NSW will only release information directly to the Applicant and not the Applicant's agent or solicitor.
Further details about acceptable POI documents are
available at roads-waterways.transport.nsw.gov.au
YesCertified extract required: No
Online licence renewal declaration required? Yes
(Please indicate reasons below)