Form Vl775 - Employee Records Request Form Page 2

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GUIDELINES FOR COMPLETING A EMPLOYEE RECORDS REQUEST FORM
An Employee Records Request Form is to be used by current
Section 2: CONTACT DETAILS
or past employees or applicants with DECD who require access
To ensure that your completed request is sent to the appropriate
to their personal records.
address, please make sure that all details are accurately
completed in this section.
Personal records can be viewed or copied as per the below
request. Past employees will be required to provide proof of
If your address or contact details are different than what is held
identity. Information will only be released to the address or
on the DECD employee database you will be required to provide
contact details held within the DECD employee database.
evidence of the new details eg. Change of address evidenced
by Rates or Bill Notice.
Once completed, email the form to the People and Culture -
Operations (email: DECD.HRClientServices@sa.gov.au).
Section 3: GENERAL INFORMATION /
IMPORTANT requests to view records by a Third Party
EMPLOYMENT HISTORY / TYPE OF EMPLOYMENT
(anyone other than the owner) will need to be made in writing
to the Freedom of Information Office. Webpage:
About the
Please indicate whether your employment was within the:
Department: Freedom of Information (FOI)
Email Address:
Schooling sector
DECD.foi@sa.gov.au
or Legislation and Legal Services Unit
Preschool Sector
Email Address: DECD.legalrequests@sa.gov.au.
DECD Corporate Sector
DECD Families SA
NB: If you require information regarding your leave, service or
pay, please contact Shared Services ph: 8462 1305 and press
The inclusion of a commencement and (if applicable) termination
1 for Payroll or email: payroll05@sharedservices.sa.gov.au
date(s) will assist in retrieving employee records.
Section 1: PERSONAL DETAILS
Section 4: DECLARATION
Please include all relevant details making sure that you do not
It is an offence to willingly provide false, inaccurate or
use abbreviations, nick names or initials.
misleading information.
If you have had a change of name, you will need to attach
supporting evidence (eg. marriage certificate, deed poll
documentation etc).
Where more than one Identity / Reference Number (ID No)
has been provided by DECD, please include each one. This
will assist in retrieving your personal records and help to avoid
delays in processing.

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