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Privacy complaint form PDF

You can use this form to lodge a complaint under the Privacy and Data Protection Act 2014 with the Office of the Victorian Information Commissioner about:

  • An act or practice of
    • a Victorian Government organisation,
    • a local council, or
    • a contracted service provider to a Victorian Government organisation or a local council,
  • that involves personal information about you (other than health information), and
  • that you believe is in breach of one of the ten Information Privacy Principles.

A Word version of this form is available here.

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