Spouse/De Facto Partner Nomination

Spouse or de facto partner of Parliamentary Retirement Travel Entitlement holder

The Parliamentary Retirement Travel Act 2002 provides that the spouse or de facto partner of a retired former Prime Minister is entitled to domestic return trips, subject to a nomination being made in writing specifying the start day from which the spouse or de facto partner is to be eligible for domestic return trips.

Your name:

Your email

Eligible start date

Spouse/De Facto Partner full name:

Address:

Postcode:

By signing this form, I acknowledge that:

I certify that the person above is my spouse/de facto partner for the purpose of the Parliamentary Retirement Travel Entitlement.

I will notify Ministerial and Parliamentary Services of any changes to my relationship circumstances when they occur.

I understand that only one spouse/de facto partner may be nominated at any one time.

I understand that knowingly giving false or misleading information is a serious offence under the Criminal Code Act 1995.

I have read and understood the Privacy Collection Notice (see below).

Date nomination made*

* Note: The start day may be earlier than the day the nomination is made but must not be earlier than the day on which the spouse or de facto partner became the spouse or de facto partner of the person.

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.