This form is for all external consultants engaged by a Northern Territory Government (NTG) department/client.
Before you fill in the form
Access to some of the client data requires a PF166 Police Clearance.
If both the requestor and the NTG Project Officer do not have a PF166 Police Clearance for data owned by Police Fire and Emergency Services, do not complete this form. You may apply for a PF166 by attending in person to Safe NT, 37 Woods Street, Darwin.
Note: You must describe clearly the information required and the purpose for which it is to be used. Include any reference to a NTG project and any other information that will assist the delegate in assessing your request. If you want to pass this information onto a third party, you must declare this.
The delegate in response will either approve or reject your request, Technical Records will receive instruction from the delegate.
If this request is in relation to a tender you are applying for and require additional information, do not complete this form, contact the Technical Officer on the tender.
|NTG department/client||Police clearance required|
|Aboriginal Areas Protection Authority||No|
|Darwin Port Corporation||No|
Attorney General and Justice||Yes|
|Department of Corporate and Information Services||No|
|Department of Education||No|
|Department of Environment and Natural Resources||No|
Health - All other Health assets||No|
Health > Central Australian Health Service||No|
Health > Central Australian Health Service - Alice Gove and Tennant Hospitals||No|
Health > Top End Health Service - Darwin 00123 and Palmerston Hospital 01423||No|
Health > Top End Health Service - Katherine Hospital 00468||No|
Local Government, Housing and Community Development||No|
|Department of Infrastructure Planning and Logistics > Infrastructure||No|
|Department of Infrastructure Planning and Logistics > Lands > Waterfront||No|
|Department of Infrastructure Planning and Logistics > Transport assets||No|
|Department of Primary Industry and Resources||No|
|Department of the
Tourism, Sport and Culture > Arts and Museums||No|
|Department of Tourism, Sport and Culture > Darwin Waterfront Corporation||No|
|Department of Tourism, Sport and Culture > Heritage||No|
|Department of Tourism, Sport and Culture > Parks and Wildlife||No|
Tourism, Sport and Culture > Sport Recreation and Racing||No|
|Department of Trade Business and Innovation||No|
|Department of Treasury and Finance||No|
|Northern Territory Electoral Commission||No|
|Office for the Commissioner for Public Employment||No|
|Police Fire and
|Territory Wildlife Parks||No|
Select the department that owns the asset. It is important that you choose the correct asset owner/occupant.
Architect, Bridges, Civil, Electrical, Fire, Hydraulic, Mechanical, Services, Sewerage, Structural, Traffic, Water
Describe your role.