ACIC General information and informed consent declarationThe Australian Criminal Intelligence Commission (ACIC) is collecting your personal information in this form to conduct a National Police History Check (NPHC) on you. It does this through a contractual arrangement with the Accredited Organisation . ACIC has contractual arrangements with its Accredited Organisations to collect personal information on its behalf to support processes assessing the suitability of people applying for employment, Australian citizenship, appointment to positions of trust, volunteer service or for various licensing or registration schemes. Accredited Organisations and their customers (such as employers) use the personal information collected on this form and the resulting NPHC as part of their assessment process to determine your application. Some Accredited Organisations have a legislative basis for the collection, use and disclosure of your personal information. ACIC recommends that you seek further information about any relevant/applicable legislative framework from the Accredited Organisation. In some circumstances, Accredited Organisations may have arrangements with overseas entities for administrative or other purposes. ACIC recommends that you seek further information from the Accredited Organisation in circumstances where your information is likely to be disclosed to overseas recipients. Unless statutory obligations require otherwise, the information provided on this form will not be used without your prior consent for any purpose other than in relation to the assessment of your suitability; or to maintain the records of ACIC and police agencies; or for law enforcement purposes. You will be required to complete another consent form for any future NPHCs.

National Police History Check (NPHC)

Information on this form will be used by ACIC and police agencies for checking action; it will also be used to update records held about you by ACIC and police agencies. ACIC and police agencies will access their records to obtain and disclose Police History Information (PHI) that relates to you to: a) the Accredited Organisation named above; and b) where applicable, the employer/Organisation named in the form. PHI may include outstanding charges, warrant information and criminal convictions/findings/pleas of guilt recorded against you. PHI is disclosed in accordance with applicable laws of the relevant jurisdiction and, in accordance with the relevant jurisdiction’s information release policies. Applicable laws include but are not limited to spent convictions legislation. The following links may be helpful in sourcing information on spent convictions in your State/Territory:

Commonwealth www.comlaw.gov.au

New South Wales www.legislation.nsw.gov.au

Queensland www.legislation.qld.gov.au

South Australia www.legislation.sa.gov.au

Victoria Police www.police.vic.gov.au

Western Australia www.slp.wa.gov.au

Northern Territory www.nt.gov.au/dcm/legislation/current.html

Australian Capital Territory www.legislation.act.gov.au

Tasmania www.thelaw.tas.gov.au

Limitations on accuracy and use of PHI

While every care has been taken by ACIC and police agencies to conduct a search of PHI that relates to you, the accuracy and quality of an NPHC issued by ACIC depends on accurate identification of you (including aliases), the comprehensiveness of police records and is based on the information provided in this form. If you do not complete the information requirements in this form, the success and validity of the NPHC will be compromised. It is in your interest to provide full and complete details in this form. If for any reason you do not agree with the results of your NPHC, please notify the Accredited Organisation that submitted the request for this NPHC so that the NPCS dispute process can be initiated.

ACIC contact details

For more information regarding the NPHC process or the handling of personal information and Police History Information, you can contact the ACIC’s National Police Checking Service on: Phone: 02 6268 7900 Email: npcs@acic.gov.au

Provision of incomplete, false or misleading information

You and the Accredited Organisation must take reasonable steps to ensure that the personal information collected or disclosed is accurate, complete and up to date. You are asked to certify that the personal information you have provided on this form is correct. It is a serious offence to provide false or misleading information on this form.

By submitting this form:

• You acknowledge that you have read the General Information above and understand that information will be disclosed in accordance with applicable legislation and information release policies (including spent convictions legislation (however described) in the Commonwealth, States and Territories);
• You understand that the purpose for which you are seeking a NPHC may be in a category for which exclusions from spent convictions legislation may apply;
• You are aged 18 years or over, and you have fully and correctly completed this form, the personal information you have provided in it relates to you, contains your full name and all names previously used by you;
• You acknowledge that the provision of false or misleading information on this form is a serious offence;
• You acknowledge that the Accredited Organisation named in Section 3 of this form is collecting information in this form to provide to Australian Criminal Intelligence Commission (ACIC) (an Agency of the Commonwealth of Australia) and police agencies;
• 6. You consent to:
  • ACIC and police agencies using and disclosing your personal information to conduct a National Police History Check;
  • the police agencies disclosing to ACIC, from their records, Police History information that can be disclosed in accordance with the laws of the Commonwealth, States and Territories and in accordance with the relevant jurisdiction’s information release policies;
  • ACIC disclosing the information sourced from the police agencies to the Accredited Organisation; and
  • the Accredited Organisation, where applicable, disclosing to the employer/organisation personal information to assess your suitability in relation to the purpose identified in this form;
• You acknowledge that any information provided by you on this form relates specifically to the purpose stated in this form;
• You acknowledge that any information provided by the police agencies or ACIC relates specifically to the purpose identified in this form;
• You acknowledge that any information sent, by mail or electronically, in relation to this form, including any identity documents, is sent at your own risk and you are aware of the consequences of these methods of lodgement;
• You acknowledge that personal information that you provide in this form may be disclosed to the Accredited Organisation (if named) (including contractors or related bodies) located in Australia or overseas; and
• You acknowledge that it is usual practice for an Applicant’s personal information to be disclosed to police agencies for law enforcement purposes including the investigation of any outstanding criminal offences.

Note: The information you provide on this form will be used only for the purpose stated in this form unless statutory obligations require otherwise.