Freedom of information request for non-personal information

This form is to be used for Freedom of Information (FOI) requests for non-personal information.

Please note that there is a $30.00 application fee associated with this request. GST does not apply.

Applicant * Required
First Name Surname
Address * Required
(This must be a valid Australian address)

Street Address Suburb State Postcode
Phone * Required
Mobile * Required
Email * Required
Is the application on behalf of an organisation? * Required
- Yes
- No
Name of organisation/business * Required
Description of the information being requested * Required
If possible please indicate a date range for the document/s.
Start Date - must be dd/mm/yyyy format * Required
DD slash MM slash YYYY
End Date - must be dd/mm/yyyy format * Required
DD slash MM slash YYYY
Form of access * Required
- I wish to inspect the document/s
- I require a hard copy of the document/s
- I require an electronic copy of the document/s
Acknowledgement * Required
- I understand that before I obtain access to information or documents I may be required to pay additional processing charges in respect of this application and that I will be supplied with a Statement of Charges if appropriate
Special concession for additional fees and charges: * Required
(Are you requesting special consideration for a reduction of any additional fees or charges in the event additional processing fees or charges are identified during the handling of this application?)
- Yes
- No
Reason for special consideration regarding additional fees or charges * Required
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NOTE: THE PAYMENT PROCESSING CONTROLS ON THIS FORM ARE CURRENTLY SET FOR TEST MODE
(Use either 5555444433331111 or 4444333322221111 for the Credit Card No. with 111 as the CCV)
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Payment Type Code
Application Fee * Required
Price:
Total to be paid (GST N/A)
$ 0.00
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GST Info
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Payment Type
Credit Card * Required

MasterCard
Visa
Supported Credit Cards: MasterCard, Visa
Card Number Expiration Date
Security Code Cardholder Name

Freedom of information request for non-personal information

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Records FOI Coordinator

Freedom of information request for non-personal information

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Records FOI Coordinator