Access to Documents  
Application Form
Under the Freedom of Information Act 1992, S.12, an application fee of $30.00 must accompany this form.
Details of Applicant 
Surname: 
First Name: 
Address:  
 
Postcode:
Phone:
Mobile:
Email:
If Application is on Behalf of an Organisation
Name of organisation/business:
Details of Request 
☐  Personal information
Note: personal information is information about you, e.g. family details, details of employment, material in personal 
records, medical reports etc.
☐  Non personal information
I am applying for access to document/s concerning: (please use additional space over the page if required)
If possible, please indicate a date range for the documents.
Start date: 
End date: 
City of Joondalup | Boas Avenue Joondalup WA 6027 | PO Box 21 Joondalup WA 6919 | T: 9400 4000  F: 9300 1383 | joondalup.wa.gov.au
FORM 95 – LAST UPDATED MARCH 2016

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Forms of Access 
☐  I wish to inspect the document/s 
☐  I require a hard copy of the document/s 
☐  I require an electronic copy of the document/s
Fees and Charges 
An Application Fee of $30.00 must accompany this form. No reduction on application fee is applicable. However, in 
certain cases, a reduction on Processing Fees and Charges may apply – see attached Schedule of Fees and Charges. 
If you are entitled to a reduction on Processing Fees and Changes, please submit a written request along with relevant 
documentation which addresses the detailed criteria.
☐  (Please tick) I understand that before I obtain access to documents I may be required to pay processing charges in 
respect of this application and that I will be supplied with a Statement of Charges if appropriate. 
I am requesting a reduction in fees and charges (please tick appropriate):    ☐ ☐  Yes   ☐ ☐  No 
Applicant signature: 
Date: 
Details of Request Continued

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Schedule of Fees and Charges
The Fees and Charges detailed below are those prescribed by Order of the Governor in Executive Council, and published 
in the Government Gazette.
Type of Fee or Charge 
Application fee – Non-personal information only.
$30.00
Staff time – Charge for time taken by staff dealing with the application, per hour or pro rata 
$30.00
for a part of an hour.
Charge for access time supervised by staff – Per hour or pro rata for a part of an 
hour. Plus the actual additional cost of the agency of any special arrangements i.e. hire of 
$30.00
facilities or equipment. 
Copying charges 
(a) Per hour or pro rata for a part of an hour; and 
$30.00
(b) Per copy. 
$00.20
Transcription charge – Charge for time taken by staff transcribing information from a tape 
of other device, per hour or pro rata for a part of an hour. 
$30.00
Other 
(a) Charge for duplicating a tape, film or computer information; and
Actual cost
(b) Charge for delivery, packaging and postage 
Actual cost
Advanced Deposits 
Section 17(3) of the Act provides that where an agency estimates that the charges for dealing with an application might 
exceed the prescribed fee, the applicant is to be notified of the estimate before such costs are incurred. Should the 
applicant then wish to proceed with the application, the agency is authorised by section 18(1) of the Act to require 
payment of an advance deposit equal to 25% of the estimated charges. Should a greater amount be required to progress 
the application, the agency may require, by written notice the payment of an advanced deposit of up to and including 75% 
of the estimate charges.
Reduction of Charges 
For an applicant who is –
(a) Impecunious, in the opinion of the agency to whom the application is made; or 
(b)  The holder of a current valid pensioner concession card issued on behalf of the Commonwealth to that person, or any 
other card which may be prescribed as being a pensioner concession card under the Rates and Charges (Rebates and 
Deferments) Act 1992; 
– the charges payable, with the exception of the application fee, are reduced by 25%.
Additional Information 
Please provide sufficient information to enable the correct document/s to be identified.
Proof of identity may be required.
Your application will be dealt with as soon as practicable (and, in any case, within 45 days) after it is received, as per the 
FOI Act 1992.
For advice and further information on FOI and the types of documents held by the City, please contact the FOI Coordinator 
on 9400 4586 or email xxxx@xxxxxxxxx.xx.xxx.xx
Further information can also be obtained from the Office of the Information Commissioner:
T:  6551 7888 
F:  6551 7889 
E:  xxxx@xxx.xx.xxx.xx 
W: foi.wa.gov.au 
A:  Albert Facey House, 469 Wellington Street, PERTH WA 6000
Forms of Access
You can request access to documents by way of inspection, a copy of a document, a copy of an audio or video tape, 
a computer disk, a transcript of a recorded document or of words recorded in shorthand or encoded form, or a written 
document in the case of a document which words can be reproduced in written form. Where access cannot be granted in 
the form requested, access may be given in a different form.

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Lodgement of Applications
By email, fax or post, addressed to: 
Chief Executive Officer
City of Joondalup 
PO Box 21 
JOONDALUP WA 6919 
In person:
Monday – Friday, 8.30am – 5.00pm  
City of Joondalup Administration Building 
90 Boas Avenue 
JOONDALUP WA 6919

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