Official form guide
Form 1450: Sponsorship undertakings — visitor visa
Form 1450 is a privacy notice and consent form for the Status Resolution Support Services (SRSS) Programme, issued by the Department of Home Affairs. It collects your consent for the Department to share your personal and sensitive information with contracted service providers and the Department of Human Services. This form is used when you are applying for or receiving SRSS support services.
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Form Overview
Home Affairs Form 1450 - Sponsorship undertakings — visitor visa
Form 1450 is a privacy notice and consent form for the Status Resolution Support Services (SRSS) Programme, issued by the Department of Home Affairs. It collects your consent for the Department to share your personal and sensitive information with contracted service providers and the Department of Human Services. This form is used when you are applying for or receiving SRSS support services.
Risk Radar
Scan points- 1The most common mistake is not signing the consent section or forgetting to have an interpreter sign if one was used, which can delay your support services.
- 2Not signing the consent section, which invalidates the form.
- 3Leaving the interpreter declaration blank when an interpreter was used.
- 4Providing incomplete personal information, causing processing delays.
- 5Sharing the form with unauthorised people, as it contains sensitive information.
Plain English
This form explains how your personal information will be used and asks for your permission to share it with the people who help run the SRSS Programme. You need to read the privacy details and then sign to say you agree. If you need help understanding it, you can ask for an interpreter. The form also includes a section for an interpreter to sign if one helped you.
Submission Date
- Filing date: Submit this form when you are being considered for or receiving SRSS support services. There is no specific deadline mentioned, but you must complete it before your information can be shared for service provision.
- Preparation window: collect IDs, supporting records, and signatures in advance.
- Final review: verify names, dates, and required fields before submission.
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What this form is for
- Use this form if you are receiving or will receive benefits under the Status Resolution Support Services (SRSS) Programme.
- Use it to give consent for the Department to share your personal and sensitive information with contracted service providers and Human Services.
- Use it to consent to International Health and Medical Services (IHMS) releasing your medical records for placement consideration.
- Use it if you need an interpreter to assist with the form; the interpreter must sign the declaration.
- Use it to acknowledge that you can withdraw consent at any time by contacting the Department.
Form selector
Use this form or another form?
You need more details about privacy before signing
It explains how your information is collected, used, and disclosed
✓ Read form 1442 before completing this form
You are an interpreter assisting with this form
You must sign as a witness to confirm accurate interpretation
✓ Ensure you have accurately interpreted the content
This form includes an interpreter declaration
You want to withdraw consent after signing
Withdrawal may affect your services
✓ Contact the Department as per the form's instructions
Deadline or filing window
There is no stated deadline on the form, but you should submit it as soon as possible after receiving it to avoid delays in your SRSS support services.
Before you submit
- 1Read and understand form 1442 (Privacy notice).
- 2Fill in your personal details accurately (full name, contact details, etc.).
- 3Sign the consent to participate in the SRSS Programme.
- 4Sign the consent for the Department to share your personal and sensitive information.
- 5If applicable, sign the consent for IHMS to release your medical records.
- 6If an interpreter was used, have the interpreter sign and provide their details.
- 7Ensure all dates are correct and the form is fully completed.
- 8Keep a copy of the signed form for your records.
How to file this form
- 1Obtain the form from the Department of Home Affairs website or an office.
- 2Read form 1442 and the privacy information provided on the form.
- 3Complete your personal details in the designated sections.
- 4Review the consent statements and sign them.
- 5If you have an interpreter, have them complete the interpreter section.
- 6Submit the form to the Department as instructed (e.g., by mail, in person, or online).
Known limitations
- 1This form is only for people receiving or will receive benefits under the SRSS Programme.
- 2Consent is valid until withdrawn, even if you move into different bands of the SRSS Programme.
- 3Withdrawing consent may impact the services provided to you.
- 4Your information will be shared with contracted service providers and Human Services as described in the form.
- 5The form does not cover all privacy details; you must refer to form 1442 for comprehensive information.
Field map
Compact field-by-field guide
Applicant
3 items
Your name exactly as shown in your passport.
Your date of birth (DD/MM/YYYY).
Passport number, country of issue, and expiry date.
Contact
1 items
Current residential address, postal address, email, and phone number.
Request
1 items
The visa, citizenship, or sponsorship request this form relates to.
Evidence
1 items
Certified copies of identity and other documents required for the request.
Declaration
1 items
Declare that the information is true and correct, then sign and date.
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Fillable formOpen in Editor->This form (1450) is dated March 2018 and is used for privacy consent under the SRSS Programme. Check the Department of Home Affairs website for any updates or newer versions.
What changed or needs a fresh check
- Confirm the form number is 1450 and the design date is 03/18.
- Check that you have read and understood form 1442 (Privacy notice) before completing this form.
- Verify that you understand the consent statements and the implications of sharing your information.
- Ensure the interpreter section is completed if an interpreter was used.
Quick Facts
Downloads & source
Sources
- SRCForm number 1450 and design date 03/18 are stated on the form.
- SRCThe form is issued by the Department of Home Affairs.
- SRCThe form references the Privacy Act 1988 and form 1442 for privacy details.
- SRCThe form lists the SRSS Programme eligibility categories (unaccompanied minors, community detention, temporary visa holders, community referrals).
- SRCThe form specifies that information may be shared with contracted service providers and Human Services.
- SRCThe form includes consent for IHMS to release medical records.
- SRCThe form states that consent can be withdrawn by contacting the Department.
- SRCThe form includes sections for individual, witness, and interpreter signatures.
Common confusion points
Confusing personal information (e.g., contact details, income) with sensitive personal information (e.g., ethnicity, health needs).
Not reading form 1442 before signing, which may lead to misunderstanding of how your information is used.
Forgetting to have an interpreter sign the declaration if one was used.
Assuming consent is permanent; it can be withdrawn, but this may affect services.
Not understanding that withdrawal of consent impacts the services you receive.
Mixing up the roles of the Department of Home Affairs and the Department of Human Services in handling your information.
Source transparency
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