Formal Access to Information Request | Albury City Council

Please complete this form to apply for formal access to government information under the Government Information (Public Access) Act 2009.

APPLICATION FEE

A $30.00 application fee must accompany a Formal Access to Information Request.

Applicant Details

First name

Last name

Business Phone

Mobile Phone

Postal Address

ABN Number

Business Name

Is the Applicant information (above) the same as the billing details?

Yes

First name

Last name

Business Phone

Mobile Phone

Postal Address

ABN Number

Business Name

Preferred Contact Method

By telephone

By email

By post

Government Information

Please describe the information you would like to access

Please include the necessary supporting documents

Maximum 5 files.
100 MB limit.
Allowed types: pg jpeg pdf doc docx xls xlsx zip.

Note: If you do not provide sufficient detail about the information you are seeking, Council may refuse to process your application.

Personal Information

Are you seeking personal information?

Yes

Reason why information is required

Upload proof of identity

Maximum 5 files.
100 MB limit.
Allowed types: gif jpg jpeg png svg txt pdf doc docx xls xlsx ppt pptx zip.

Note: For personal information, an applicant must provide proof of identity.

Disclosure Log

Do you object to information being recorded on the Disclosure Log?

Yes

If the information sought is released to you and would be of interest to other members of the public , details about your application may be recorded in the agency's disclosure log. This is published on the AlburyCity website.

Processing Charges

If your application to access information is approved, additional processing charges will apply ($30.00 per hour). Processing charges will be invoiced to the applicant via the applicant's details (email or post).

Some applicants may be entitled to a 50 per cent reduction in their processing charges.

Do you wish to apply for a discount?

Yes

Please select reason

Financial hardship (eg. Pension or Centrelink Card)

Special benefit to the public

Please attach supporting documentation

One file only.
10 MB limit.
Allowed types: jpg jpeg png pdf doc docx.

Applicant's Declaration

I acknowledge there is a charge, as shown in Councils adopted fees and charges, for Council to provide copies of the documents I request.
I acknowledge that Copyright exists on each document.
I understand I must seek the Copyright owners consent in order to use any part of a copyright document for any other purpose.

Signature

Sign above

Privacy and personal information protection notice

In making this application, you are providing personal information. This information will only be used in connection with this application and will be handled in accordance with the Privacy and Personal Information Protection Act 1998. General information about the Government Information (Public Access) Act 2009 is available by calling the Office of the Information Commissioner on call 1800 472 679 or on its website www.ipc.nsw.gov.au