Informal Review Form

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Required fields are marked with an asterisk (*).

Your details

Who is completing this form? *
You are completing this form on behalf of the client, please provide us with your details.
How would you like to be contacted *


Do you want the TAC to talk to someone else about this Informal Review? *
You can revoke permission for the TAC to discuss your Informal Review with this nominated person at any time by contacting us

Request for review details

You have 12 months from the date you become aware of the TAC’s decision to ask for an informal review.
Decision date *
Please feel free to upload any additional information

Your privacy
The TAC respects your privacy. The TAC will retain this information 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.
If you require further information about our privacy policy, please call the TAC on 1300 654 329 or visit our privacy policy.