Report a Data breach

Please use this form to notify us of a suspected or known Data Breach relating to your own or someone else’s Personal Information collected or held by Tamworth Regional Council.

For the purposes of submitting this notification, ‘Personal Information’ means information or an opinion about an individual whose identity is apparent or can reasonably be ascertained from the information or opinion, and which also includes information about an individual’s physical or mental health, disability, and personal information connected to the provision of a health service.
Please complete the following, including as much information about the suspected or known Data Breach as able to.

Applicant Details

Full Name*

Residential Address*

Suburb*

State*

Postcode*

Phone Number*

Email Address*

Are you an employee of Tamworth Regional Council?*

Do you consent to Tamworth Regional Council updating their records with the information provided above?*

Breach Details

Date of data breach (if known)

Description of data breach (provide as much information as possible)*

Information involved in the data breach*

Additional information (any information that may assist us in the investigation)

Please attach any evidence if able to (e.g. screenshots, photocopy’s, pictures etc.)

Evidence upload

Privacy Statement

Personal information supplied to or collected by Tamworth Regional Council will only be stored and processed by Council for lawful purposes directly related to the functions and activities of Council. Any personal information supplied will only be disclosed to a third party for the purpose of performing a lawful function or activity and for no other purpose. Disclosure of personal information to a third party will be in accordance with Tamworth Regional Council's Privacy Management Plan (PDF 331.7KB)

Mandatory field(s) marked with *