GIPA Decision Internal Review Application

This form should be used if you wish to apply for internal review of a decision made under the Government Information (Public Access) Act 2009 (GIPA Act). You must lodge this form with us within 20 working days after notice of the decision was given to you.

A fee of $40 applies to the application – payment can be made online through Western Sydney University’s OneStop facility – Office of Governance Services – Internal Review Fee

If you need help in filling out this form, please contact the Right to Information Officer

General information about accessing government information under the GIPA Act is available on the IPC’s website:

Applicant Details

*I agree to receive correspondence to the above email address

Application Fee

*Has the prescribed application fee been paid?

Decision Details

*Would you like the entire decision reviewed?
*Date of decision