MOPS Act Employee Personal Item Lost/Stolen/Damaged Form

Note: ALL parts of this form must be completed. Write ‘N/A’ where not applicable.



This form is for the notification of loss, damage or theft of Department of Finance equipment and assets. Loss, damage or theft of computers, laptops, printers, smartphones or other IT equipment must be reported to the Department of Parliamentary Services on (02) 6277 2020.

I declare that the following item has been:

Or between:

Was there any evidence of theft, fraud, misconduct or abuse?

Details of loss, theft or damage:

Which police were advised?

By signing this form, I acknowledge that:

 

Privacy Collection Notice: The Department of Finance (the Department) uses and discloses personal information collected in this form to facilitate the administration of the parliamentary business resources framework, and for employment purposes including to facilitate the management of your employment and for workforce planning purposes. The Department handles your personal information in accordance with the Privacy Act 1988. Personal and sensitive information may be disclosed to your employing Parliamentarian or other third party entities relevant to your employment, for workforce planning purpose or for improving culture in Commonwealth Parliamentary workplaces, including, but not limited to, the Independent Parliamentary Expenses Authority (IPEA), the Department of Parliamentary Services, the Parliamentary Workplace Support Service (PWSS), or will be disclosed as otherwise authorised or required by law. Details of the related expenditure may be tabled in Parliament, published on the Department’s website, or provided to the Special Minister of State, IPEA, or publicly, as authorised by law. More information is available at https://maps.finance.gov.au/maps-privacy-statement.