Driver License Support Programme Referral form

Eligibility-and-Privacy-Declaration

  • Privacy Declaration

    I have been provided with the Driver Licence Support Programme Privacy Statement.

    I understand that the information I provide to [Provider name] is being provided voluntarily and for

    the purpose of providing me with Ministry of Social Development (MSD) funded driver licence support

    services. If I choose not to provide the required information, I understand that I will be unable to

    participate in the Programme.

    My information will be held by [Provider name] and I understand that under the Privacy Act 2020 I

    have the right to access and correct any information that [Provider name] may hold about me.

    I agree that [Provider name] may contact schools 1 , organisations or MSD on my behalf for the

    purpose of providing me with driver licence support services, and that those same

    schools/agencies/organisations may provide information that they hold about me for that same

    purpose.

    I agree that some of my information will be shared with Statistics NZ who will use the information in

    line with best practice. This information will be fed into the Integrated Data Infrastructure (IDI).

    Some of my information held by [Provider name] will be provided to MSD where this is required for

    the purposes of programme administration and the reporting of participation and outcomes. MSD may

    share information on my circumstances with [Provider name] to aid in eligibility determination and to

    enable programme service delivery. If I require further information about how MSD will manage my

    personal information, I understand that I am able to find this on MSD’s webpage under Privacy Notice.

    I understand I can withdraw from the programme in which I am enrolled at any stage by notifying

    [Provider name], and that some of my information will need to be retained for reporting purposes.

    I understand that I have a right to complain to the Privacy Commissioner if I am concerned about how

    my personal information is being used or protected by [Provider name].

  • Your provider needs to collect, use, and store some of your personal information for the operation of

    the Driver Licence Support Programme (“the Programme”).

    Your provider will collect this information directly from you. They may also collect it from other people

    and organisations with your consent for the purposes of determining your eligibility and providing you

    with driver licence support services. You do not have to provide any personal information to your

    provider, however if you choose not to provide information you will be unable to participate in the

    Programme.

    As the funding agency, the Ministry of Social Development (MSD) needs to collect certain personal

    information for the purpose of administering the Programme and reporting on outcomes. MSD will use

    this reporting to ensure that the funds have been used appropriately and the Programme is meeting

    its objectives.

    What information is collected

    The following information will be collected by your provider and recorded in SORT (an MSD online

    tool) for the purposes of Programme administration and reporting:

     Name, DOB, Gender, Age and Ethnicity (optional)

     Work and Income service centre (if applicable)

     Referral source (if not referred by MSD directly)

     Contact details

     SWN number (if applicable)

     Eligibility category

     Confirmation that you have signed the privacy declaration and consent form

     Confirmation of your enrolment and initial driving lesson

     Driver licence category

     Outcomes and dates of completed driving tests

     Costs incurred during your participation, such as driving lessons and tests, eye tests,

    childcare etc.

    The following information will not be recorded in SORT, but will be collected and retained by the

    provider for auditing purposes:

     Your completed eligibility confirmation and privacy declaration form

     Receipts for additional expenses and participant costs incurred by you during, and in relation

    to, the Programme

     Either a copy of your licence or temporary licence achieved as an outcome of the Programme

    Your provider may collect further personal information for the purposes of delivering their services.

    This personal information is not required to be shared with MSD for Programme administration or

    reporting purposes and will not be recorded in SORT. Your provider will be required to manage this

    personal information in accordance the Privacy Act 2020.

    After your information is collected

    Your personal information recorded in SORT will be shared with MSD for the following purposes:

     Confirming your eligibility for the Programme

     Recording your enrolment in the Programme, including creating a client record in SORT for

    non-MSD clients

     Outcome reporting

    If you are an existing MSD client, your information in SORT will be shared with MSD’s client

    management system and used to update your existing client file with MSD.

    When MSD reports on outcomes, your information will be de-identified and aggregated before being

    shared with third parties for statistical and research purposes. MSD will only share your information in

    accordance with the privacy requirements set out in the Privacy Act 2020.

    Some identifiable information, such as your name, DOB, gender, SWN number (if applicable), date of

    enrolment and date of completion or early exit, will be shared with Stats NZ to be recorded in the

    Integrated Data Infrastructure (IDI). This information will be managed by Stats NZ in accordance with

    best practice.

    Accessing and correcting your information

    You can request a copy of your personal information held in SORT by making a request to your

    Provider. If you wish to correct any of the information held about you, please let your Provider know.

    Who can access your information?

    Only staff who have a role in managing the Programme and related administration can see, add, or

    change the information held about you in SORT. Access to your personal information is limited to

    those with logon access rights, and all access is recorded and can be audited. Everyone who

    accesses your personal information in SORT is trained to keep your information safe.

    How long is your information kept?

    If you withdraw from the Programme or choose not to participate, your client record will be closed in

    SORT and no further edits can be made. Your provider may continue to have read only access to

    your record for the purposes of reporting. Once the Programme is finished, your provider will no

    longer have access to your personal information recorded in SORT and it will be retained by MSD so

    long as is required in compliance with the Public Records Act 2005.

    Other personal information which has been collected by your provider but not recorded in SORT, will

    be required to be deleted once it is no longer required by the provider for the purposes of delivering

    driver licence support services to you. Your provider will be responsible for the management of this

    information.

    Questions or Concerns

    If you have any concerns about how the Programme will handle your personal information you can

    email MSD’s Privacy Officer at PrivacyOfficer@msd.govt.nz or follow MSD’s complaints process

    Making a complaint - Ministry of Social Development (msd.govt.nz).