Back to Contact

    Consent for your NDIS Information

    Use this form to give consent for the NDIA to share your NDIS information with a person or organisation you choose, or to allow another person or organisation to do things for you with the NDIS.

    Download Form

    Prefer to fill out offline?

    Download PDF

    How to return this form to the NDIA:

    • Email for applicants: NAT@ndis.gov.au
    • Email for participants: enquiries@ndis.gov.au
    • Mail: NDIA, GPO Box 700, Canberra ACT 2601
    • In person: Visit a local area coordinator, early childhood partner or NDIS office

    Part A: Applicant/Participant Details

    Check this if you are a child representative, plan nominee, or legally appointed decision maker

    Part C: Give Consent

    Enter the name of the person or organisation you want to share your information with

    Types of Information to Share *

    Select all that apply:

    Actions Authorized *

    What can this person or organisation do for you? Select all that apply:

    Part D: Declaration

    I consent to the National Disability Insurance Agency (NDIA) sharing my information with the person or organisation named above. I understand that I can withdraw this consent at any time by contacting the NDIA.