Application for Access to Electronic Services

About this form

Use this form to submit a request for access to online services.

Contact

Access Canberra

Phone: (02) 6207 1923

Online: Feedback form

Your personal information

Access Canberra uses this form to collect information which is necessary to allow the ACT Government to provide services to you. Personal Information may be used or disclosed in accordance with the Information Privacy Act 2014.

For details on the collection of personal information in this form please refer to the Access Canberra Information Collection Notice. If you have questions about how your information will be handled please see the Access Canberra Privacy Policy or contact us.