---
title: "Organisation and Authorised Officer form"
source: "https://www.digitalidsystem.gov.au/sites/default/files/2025-03/Organisation%20and%20Authorised%20Officer%20form_Mar%202025.pdf"
collection: "digital-id-accreditation"
guidance_commit: "db3111cd9d11643ac08b34b4d75b0d0d983ca388"
---

Organisation and Authorised
Officer form
This form is used to provide the Australian Competition and Consumer Commission, in its
role as the Digital ID Regulator, with key information about organisations seeking
accreditation to provide services, or approval to participate in the Australian Government
Digital ID System (AGDIS) under the Digital ID Act 2024.

An organisation should use this form to provide information about:
   -   the organisation that is applying to be accredited, or approved to participate in the
       AGDIS
   -   the Authorised Officer for the organisation – the person who has authority to act on
       behalf of the organisation. For example, an authorised officer could be a director,
       secretary or office holder of the organisation, or another position that can be verified
       on the organisation’s business record
   -   primary contact person/s for the organisation.

This form is also used to provide consent for the electronic service of documents and
notices under the Digital ID legislation.

When submitting applications relating to accreditation or approval to participate in the
AGDIS, an organisation can reattach a submitted Organisation and Authorised Officer form
to identify the organisation that the application relates to.

Where an organisation holds an existing accreditation, or approval to participate in the
AGDIS, this form can be used to update the organisation’s Authorised Officer and primary
contact/s.
Organisation information
Organisation name

Foreign entity    No
ABN (Australian Business Number) – for Australian organisations


ARBN (Australian Registered Body Number) – for foreign entities


Organisation sector type Public

Organisation type

Organisation email

Organisation phone

Website

Organisation Address

Street address line 1

Street address line 2

City

State

Postcode

Country


Consent for electronic service of notices and other documents
Does the organisation consent to notices and other documents under the Digital ID
legislation being given by email to the Organisation email above?

Yes              No


Authorised Officer information
Authorised Officer – person who has authority to act on behalf of the organisation

First name

Last name

Position

Work email

Work phone (optional)

                                                                                     1
Primary contact person/s information
First name

Last name

Position

Work email

24/7 phone (optional)


First name

Last name

Position

Work email

24/7 phone (optional)


First name

Last name

Position

Work email

24/7 phone (optional)


Form completed by:


Date:


                                       2