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Please provide the details of two work referees you have directly reported to in previous positions. They will not be contacted without your permission.
To ensure that you are not placed in a position that may aggravate or trigger a previous or existing medical condition, we will request from ACC a copy of your injury claims history.
Privacy Consent Disclosure and Declaration
Stafford will take reasonable precautions in accordance with the Privacy Act 1993 to safeguard your personal information against loss, misuse or disclosure. Personal information held by Stafford about you can be accessed by you, and you have the right to request correction of that information, in accordance with the Privacy Act 1993.