- What it is for
- This form gives notice about how personal information is collected, used and disclosed under the Status Resolution Support Services (SRSS) Program and records the individual's consent to that handling so the Department can assess eligibility and deliver assistance.
- Who completes it
- The individual receiving or applying for SRSS assistance; where the person cannot sign, a guardian may act, and a witness and interpreter may also sign as applicable.
- Information it collects (in general terms)
- The applicant's identifying details and a signed consent, plus, where relevant, witness, guardian, and interpreter details, covering the person's agreement to information being shared with SRSS service providers and Services Australia.
- When it is used
- Used when a person enters or participates in the SRSS Program, as consent to the collection and disclosure of their personal and sensitive information is needed for the Department to offer assistance.
This site is not affiliated with the Australian Government. Forms are completed and lodged in your own ImmiAccount; this platform never submits anything to the department.