About this form
If publishing certain information would/is likely to put your safety at risk, you can apply to have your address (and some other information) withheld from the National Personal Insolvency Index (NPII). We cannot withhold your name or date of birth.
You may also use this form to apply to correct or remove inaccurate or misleading information on the NPII.
For more information, see Can I withhold, remove or correct my details that appear on the National Personal Insolvency Index?
If you would like to speak to someone you can contact us or call 1300 364 785.
Submitting the form
If you are applying for bankruptcy or have recently been made bankrupt by the court (sequestration order)
For online applications, make sure you upload this form at question 10 of your Statement of Affairs.
For offline (paper) applications, you must submit this form at the same time as your other required form/s. If you do not, your information may continue to be published on the NPII.
If you are applying for a debt agreement or personal insolvency agreement
To request to withhold your information on the NPII, your completed form must be submitted at the same time as your debt agreement / personal insolvency agreement paperwork.
If you are already bankrupt, or in a personal insolvency agreement or debt agreement
To request to remove or correct your information on the NPII, return your completed form to us using this online form: Send us a document.