Part B: Privacy and Consent Declaration

In Part B, you need to read through the declaration and complete the information below to tell us if you give your consent for us to collect your information.

The National Disability Insurance Agency (NDIA) collects your personal and sensitive information to decide if you are eligible for the NDIS. If you are eligible, we will use this information to help develop, implement and review your NDIS Plan and do other things related to the NDIS.

1. Provide third party consent
Do you consent to the NDIA collecting, using and disclosing your personal and sensitive information for the above purposes and in accordance with our Privacy Policy? Yes, I consent / No, I do not consent

2. Provide consent to verify age and residence using Centrelink
Do you consent to the NDIA collecting your age and residence information from Centrelink using your Customer Reference Number (CRN)? Yes, I consent and my CRN is: / Yes, I consent and I do not know my CRN / No, I do not consent.