REQUEST UNDER THE FREEDOM OF INFORMATION ACT 1989 (FOI Act)
DETAILS OF APPLICANT
Mr/Mrs/Ms/other (eg Company) ..........................................................................................................................................
Address: ....................................................................................................................................................................................
Telephone: (home): .......................................................... (work): .......................................................................................
Date of birth: ..................................................................... Email Address: .........................................................................
I would like to access the following documents located within the following areas of the Community Services
Directorate: [
Please tick areas you require information from]
Multicultural, Aboriginal, Torres Strait Islanders Affairs
Office for Ageing
Disability ACT
Office for Women
Therapy ACT
Housing and Community Services
Office for Children, Youth and Family Support
Youth Justice – (Legislation sets out Youth Justice
(includes Care and Protection)
information can only be provided to applicants over 18 years)
DOCUMENTS SOUGHT:
I would like access to: .................................................................................................................................................................
....................................................................................................................................................................................................
....................................................................................................................................................................................................
....................................................................................................................................................................................................
.............................................................................................................. (if insufficient space please attach separate sheet of paper)
I would like:
- a copy of these documents sent to the above address
- to inspect these documents
I seek remission of any charges imposed pursuant to section 29 on the grounds of:
Financial hardship
Public interest Personal Information Any other grounds
Please describe your reasons for requesting remission: ..................................................................................................
....................................................................................................................................................................................................
.....................................................................................................(if insufficient space please attach separate sheet of paper)
Would you have an objection to the Directorate consulting with a person whose information may appear in a
document relevant to your request.
YES
NO
Please sign here: ........................................................................................................................ Date: .......................................................
Send Request to: FOI Coordination Team
OR
Housing FOI Coordinator
Community Services Directorate
Community Services Directorate
GPO Box 158
Locked Bag 3000
CANBERRA ACT 2601
BELCONNEN ACT 2617
Enquiries:
Ph: (02) 6205 0244 or (02) 6207 6547
Ph: (02) 6207 4549
Fax: (02) 6205 0343
Fax: (02) 6207 1403
Email: xxx.xxx@xxx.xxx.xx
Email: xxxxxxx.xxxxxxxxxxxxxxx@xxx.xxx.xx
Document Outline
