Applying for a declaration under the Commonwealth Qualified Privilege Scheme

How to apply for a declaration in relation to a quality assurance activity under Part VC of the Health Insurance Act 1973.

Page last updated: 25 November 2019

An organisation that wishes to seek a declaration in relation to a specific quality assurance activity under the Commonwealth legislation must do so by completing the application form provided below. Applicants are asked to provide a range of information including details about the design, purpose and expected outcomes of the quality assurance activity. It is essential this application form be completed in full to enable a comprehensive and accurate assessment of the application against requirements set out in the Health Insurance Act 1973 (the Act) and for the proposed activity set out in the application to meet the public interest criteria in the Health Insurance Regulations 2018 (the Regulations) made under that Act. A declaration only relates to the specific approved quality assurance activity and does not extend to associated or consequential quality assurance activities.

If you are planning to submit an application, it is advisable to read the provisions of the Act and the Regulations. The application form and links to the legislation and regulations are available below. You may also contact an officer at the Department to discuss your proposed application using the contact details below.

Application form:

Legislation and Regulations:

Contact Details


Completed applications may be emailed to [email protected] or posted to:
    The Director
    Accreditation and Registration Policy Section
    Department of Health
    MDP 610
    GPO Box 9848
    CANBERRA ACT 2601

If you have any questions relating to Commonwealth Qualified Privilege Scheme or would like assistance completing your application form please use either the contact details above or phone the Accreditation and Registration Policy Section on (02) 6289 4155.