Freedom of information request for personal information

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

Personal information is information about yourself such as your family details, details of employment, material in personal records, medical reports, etc. and does not require an application fee

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

Freedom of information request for personal information

If possible please indicate a date range for the document/s.

Related Online Services

Records FOI Coordinator

Freedom of information request for personal information

If possible please indicate a date range for the document/s.

Related Online Services

Related Topics

Records FOI Coordinator