Freedom of Information Application

Freedom of Information Application
Organisation / Business Name
(if applicable)
Full name*

First NameLast Name
Address*

Street address or PO Box

Street Address Line 2

SuburbState / Province

Postcode
Phone
Email*
example@example.com
Request details

Request for documents containing personal information onlyRequest for non-personal documents that contain information relating to third parties
(incurs $30 application fee a City of Armadale Officer will contact you for payment)
Date range of requested document/s

DayMonthYear
Start date
date range end

DayMonthYear
End date
Document description
Please describe the documents you are requesting (include names, dates, location, subject matter or any other information that would assist with identifying the documents).
Reason for request
Please provide a reason for this request as this may assist in accurate identification of documents.
Access method*

EmailPostCollectionOther
Authorisation and consent

I consent to all ‘personal information’ of third parties being deleted from the requested document/s
(This includes: names, contact details, signatures and identifying information of third parties that are not state and local government officers)
I consent to all ‘personal information’ and ‘prescribed details’ of WA state and local government officers being deleted from the requested document/sI consent to my name being disclosed to a third party consulted by the City of Armadale in relation to this application
(Providing this information to third parties who ask for it enables the consultation process to be finalised more efficiently and quickly as third parties are generally more willing to consent to the release of personal and/or business information if the applicant is known)
Should be Empty: