Request For Access To Records Under The Freedom Of Information Act, 2014 printable pdf download

Request For Access To Records Under The Freedom Of Information Act, 2014

REQUEST FOR ACCESS TO RECORDS UNDER THE

FREEDOM OF INFORMATION ACT, 2014

Please address this request to relevant FOI Contact

Please use BLOCK letters

Details of Applicant

Surname:

____________________________________________________

First Name: ____________________________________________________

Postal Address: _________________________________________________

______________________________________________________________

Telephone Number(s)

OFFICIAL USE ONLY

Home:

____________

Date FOI request Received:

____________

Business: ____________

Identity Verified:

____________

Mobile:

____________

Consent Confirmed:

____________

Personal Information

My preferred form of access is: (please tick as appropriate)

to receive copies of the record by post

other – please specify ______________________________

Details of Request

In accordance with Section 12 of the Freedom of Information Act, I request

access to records which are: (please tick as appropriate)

Personal

Non-personal

In the space provided below, please describe the records as fully as you can. If you

are requesting Personal Information, please state precisely, in whose name those

Request For Access To Records Under The Freedom Of Information Act, 2014