Public Interest Disclosure Lodgement Form 

The City of Kalamunda strongly encourages anyone thinking about making a public interest disclosure to seek out a nominated proper authority to discuss their issues first.

Our proper authority(ies) (Public Interest Disclosure (PID) Officer(s)) is:

• I will not receive any information about what happens to this disclosure  
• it may be more difficult for the proper authority to look into the matter(s) as they cannot come back to me for further information   
• it may be more difficult for the proper authority/public authority to protect me 
• this anonymous disclosure may not prevent me from being identified during any investigation or when action is being taken. 

• I will commit an offence under section 24 of the PID Act, if I know that the information contained in this disclosure is false or misleading in a material particular, or I am reckless as to whether it is false or misleading in a material particular.  
  Penalty: $12 000 or imprisonment for one (1) year. 
• I will forfeit the protection provided by section 13 of the PID Act, if I fail, without reasonable excuse, to assist a person investigating the matter by supplying requested information (s17).  
• I will forfeit the protection provided by section 13 of the PID Act, if I subsequently disclose this information to any person other than a proper authority under the PID Act (s17). 
• I will commit an offence, if I subsequently make a disclosure of information that might identify or tend to identify anyone as a person in respect of whom this disclosure has been made under the PID Act, except in accordance with section 16(3) of the PID Act. 
  Penalty: $24,000 or imprisonment for two (2) years. 
• I cannot withdraw my disclosure after I have made it.