- Brighton Council - https://www.brighton.tas.gov.au -

WebForm – Immunisation Request

Immunisation Records Request

IMMUNISATION RECORDS REQUEST

Please complete and submit the following webform to request immunisation records from Council.

For further information, please contact the Brighton Council on (03) 6268 7029, 8.15am - 4.45pm (Mon - Fri).

Fields marked with an * require information prior to submitting your request.

I hereby request the Immunisation Records for;

Help Text

If someone else, please specify relation;

Applicant Details

Please note that our aim is to provide you with your Immunisation Record as quickly as possible.  You should therefore receive your Certificate within two (2) business days from submitting application.  If you do not, please contact council on (03) 6268 7029.

Privacy Statement

On application, client details will only be released to the client directly, or if the client is under 18 years of age, to the client's lawful guardian(s).  In cases where the application is made by a person other than the client, documentation may be requested to confirm the applicant's relationship with the client.

Personal Information Protection Statement

The personal information that Council is collecting from you is deemed personal information for the purposes of the Personal Information Protection Act 2004.

The intended recipients of personal information collected by Brighton Council may be;

* Officers within Brighton Council
* Data service providers engaged by Council from time to time
* Any other agent/contractor of Brighton Council

The supply of the information by you is voluntary.  If you cannot provide or do not wish to provide the information sought, Brighton Council may be unable to process your application or request.

Council is collecting this personal information from you for the purposes of managing, assessing, advising upon and determining the relevant application, or other Council related matters.

Personal information will be managed in accordance with the Personal Information Protection Act 2004 and you may make application for access or amendment to your information in writing to;
Privacy Officer
Brighton Council
1 Tivoli Road
OLD BEACH   TAS   7017

Or phone (03) 6268 7000.

 

Email [11] Email [11]    

Street/Mail Address
1 Tivoli Road

Old Beach  TAS  7017
Australia

Contact Us
Tel: (03) 6268 7000

Fax: (03) 6268 7013
Email: admin@brighton.tas.gov.au

Business Hours
Mon - Fri: 8.15am to 4.45pm