Freedom of Information Request

Name(Required)

First Last

Full Address(Required)

Home Phone

Business Phone

Email Address

Document Details

To enable the Freedom of Information Officer to identify the document that you require, please provide as much detail as possible. You may attach further information if necessary. I would like access to the following documents under the Victorian Freedom of Information Act 1982.

Documents requested date from:

Documents requested date to:

Access to the following document (Provide detailed information please)

Note you are required to be as specific as possible to enable a search to be conducted. Please ensure you have stated the type of documents you are seeking such as planning permit, report or letters, and avoid phrases like all documents or any records as your request may end up being too large to process.

Consultation with Third Parties

Should it be necessary to consult with other parties regarding your application, do you object to your name being released as the applicant?(Required)

Yes

No

Section 25 of the Act- Deletion of Exempt or Irrelevant Material

The document(s) you requested may contain exempt or irrelevant information.

I agree to receive access to an edited copy of a document(s) with exempt or irrelevant information removed, in order to receive the part of the document(s) that can be released.(Required)

Yes

No

Payment of Application Fee(Required)

To proceed with your request, please pay the application fee of $33.60 by sending bank cheque/money order to our main office at PO Box 177 Euroa, 3666 or by phoning our Customer Service team on 0357 95000 to pay by credit card.
* The application fee may be waived or reduced in certain circumstances.

$33.60 to be paid by bank cheque / money order

$33.60 to be paid over phone by contacting Strathbogie Shire Council

Privacy Statement

The personal information you provide will be used solely by Council for the provision of assisting you with this Freedom of Information request. Council may disclose this information to other organisations if required by law. The applicant understands that the personal information provided is for the purpose stated and that he or she may apply to Council for access to and/or amendment of the information. Requests for access and or correct should be made to Council’s Privacy Officer.

Date of submission

Freedom of Information Request

Document Details

Document Access

Consultation with Third Parties

Section 25 of the Act- Deletion of Exempt or Irrelevant Material

Privacy Statement

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