Note: to be completed and returned within 21 days of completion of all works authorised under the permit.
* (denotes mandatory fields)
Privacy Collection Notice
The Department of Primary Industries and Regional Development (DPIRD) (we, us) is collecting your personal information (your information) through this form.
Why are we collecting your information?
We are collecting your information so you can notify DPIRD of the commencement of works, active works, or completion of works carried out under a permit issued under Part 7 of the Fisheries Management Act 1994, and so DPIRD can monitor compliance with the conditions of that permit.
How will we share your information?
We will not share your information with anyone else unless you give your consent, or the law requires or allows us to do so.
Are you required by law to give us your information?
Yes. You are required by law to give us your information as a condition of a permit issued under Part 7 of the Fisheries Management Act 1994.
If you choose not to give it, you may be in breach of a permit condition, which may result in compliance action, including penalties, and may affect your ability to lawfully carry out the permitted works.
Your right to access and correct your information
To access or correct your information, please contact:
Privacy Officer
Department of Primary Industries and Regional Development
105 Prince Street Orange NSW 2800
Email: contact@dpird.nsw.gov.au
Phone: (02) 6391 3100
Further information
This form is hosted and managed by the Department of Primary Industries and Regional Development (DPIRD) on the www.dpi.nsw.gov.au/fishing website.
For more information about how DPIRD collects, uses, stores and discloses personal information, please refer to the DPIRD Privacy Statement at:
www.nsw.gov.au/departments-and-agencies/dpird/access-information/privacy-statement
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