I authorise Roads and Maritime services to confirm with Centrelink details about my pension entitlement. This includes whether or not the details I have provided Roads and Maritime match Centrelink or Department of Veterans' Affairs (DVA) records and whether or not I am still receiving a Centrelink or DVA benefit.
I agree, unless I revoke my consent, this Customer Consent record is a permanent consent. and may be relied on until such time as I revoke it.
I may revoke my consent at any time by giving Roads and Maritime written notice. I understand if I revoke my consent, I will not be eligible for pensioner concessions provided by Roads and Maritime. I understand that my "personal information" is collected, held by Roads and Maritime, 20-44 Ennis Road, Milsons Point 2061. I declare that the details in this application are true and complete.
I understand that: my "personal information" is being collected to authorise verification of my details with Centrelink/Department of Veterans' Affairs for eligibility for a Concession Entitlement. Failure to supply full details and sign this authority can result in the concession being denied. My "personal information" will only be disclosed to verify this information. I have a right to access or correct my "personal information" in accordance with the provisions of the relevant Privacy Legislation.