Authority to release - Education

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This form gives us permission to collect information about your education. It also enables us to disclose information to other parties so we can manage your claim.

We will also never ask you to disclose passwords or transfer funds into an unknown bank account. Please contact us if you have any concerns.

We treat your personal information in confidence and in line with the TAC privacy policy.

1. Personal details
Date of birth *
Date of accident *
2. Information about schools, learning centres or child nurses

Please list the names, addresses and contact details of the child’s primary and secondary schools.

For pre-school children, please provide the details of their maternal health nurse, childcare, Early Learning Centre or Kindergarten.

Add another school, learning centre or maternal child health nurse?
Second school, learning centre or maternal child health nurse
Add another place
Third school, learning centre or maternal child health nurse
3. Authorisation

For the attention of The Principal and the Department of Education

Please provide to the TAC of 60 Brougham Street, Geelong any information required by it in relation to my education and scholastic achievement before and after the transport accident in which I sustained injuries.

In particular, please provide to the TAC:

  • School reports and assessments for the named academic years
  • Any school vocational or careers assessments/advice during the above academic years
  • Reports of attendance, sick leave and absenteeism during the named academic years
Are you the TAC client? *
(eg parent/guardian, administrator, power of attorney)
(using a mouse, your finger or a stylus on a touchscreen)
Clear signature
Date
4. Important information

The TAC will retain the information provided and may use or disclose it to make further inquiries or assist in the ongoing management of the claim or any claim for common law damages.  The TAC may also be required by law to disclose this information.

The Transport Accident Act 1986 (the Act), states that when requested to by the TAC, a person must sign an authority to release information form. The Act also says that an authority to release information form cannot be revoked until a claim is finally determined.

The TAC will only use this form to collect relevant information for processing, assessing or managing your claim and we will always advise you when we use the form to seek relevant information.

If you do not sign the authority to release information form, the TAC may not be able to make a decision about your entitlement to TAC benefits.

If you require further information about the TAC’s privacy policy, or if you have any questions about how we collect or share your information,  please call us on 1300 654 329 or visit our website at tac.vic.gov.au