Privacy Invasion Form

Ready to act? How can we help?

We understand that embarking upon legal action at such a stressful time can be daunting. That is why we walk hand in hand with our clients to guide them through the process at each step of the way.

Get in touch

P 1800 570 778

P 02 6257 2999

E mail@mej.com.au

F 02 6257 4422

Canberra

Level 8,
60 Marcus Clarke Street
Canberra City ACT, 2601

GPO Box 633
Canberra ACT 2601

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Your Details

Name*

First name Last name

Email address*

Phone number*

Suburb*

State*

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Accident/Incident Details

In which state / where did the privacy invasion occur?*

When was your privacy breached?*

When did you first find out about the invasion of privacy?*

How old were you when the invasion occurred? (Under 18 / 18 or over)*

Which organisation or entity do you think breached your privacy (MEJ does not generally take on cases involving privacy breaches by individuals)*

Tell us in your words what happened (type of information, severity of impact)

Was the privacy invasion a physical or technological intrusion (e.g. surveillance, recording, tracking), or the misuse/disclosure of personal information, or both?*

Please specify

Do you have any reason to think the person or organisation knew this would affect your privacy, for example, because it was deliberate, they had been warned, or it was part of a pattern of behaviour?*

Please describe briefly*

Is the conduct still happening, or has it stopped?*

Has the information or material been shared with others, or is it still held by the defendant?*

Is there a legitimate public interest reason the defendant might raise to justify what they did?*

Do you have any evidence of the invasion, eg documents, screenshots, recordings, witnesses?*

Have you already complained to a regulator or taken other steps?*

Please specify*

What outcome are you hoping for?*

How serious was the impact on you?*

emotional distress

reputational harm

financial loss

physical safety risk

relationship breakdown

other

Please specify*

How did you hear about us*

Please specify*