Freedom of Information (FOI)
Requesting access to RSPCA documents
Name: ____________________________________________________________________________________
Address: __________________________________________________________________________________
Suburb: _____________________________________________________ Post Code: _________________
Telephone: (BH) ____________________________________ (AH) ________________________________
Under the
Freedom of Information Act 1982, I wish to gain access to the following document(s):
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__________________________________________________________________________________________
__________________________________________________________________________________________
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Please provide the information below (tick where appropriate)
I request copies of the document(s) to be forwarded by email.
I request copies of the document(s) to be forwarded by post.
I request an inspection of the original document.
I am prepared to inspect copies of the document(s) where providing the originals would interfere
unreasonably with the operations of RSPCA Victoria.
Signature: _______________________________ Date: ___________
I enclose an application fee of $28.90 (a fee payable according to the FOI Act) and understand that I will
be supplied with a statement of further charges if appropriate.
Please select your payment method:
My money order or cheque is enclosed.
My credit card details are below.
Card Type
(please circle): Visa American Express Diners MasterCard
Card Number: ___ ___ ___ ___ / ___ ___ ___ ___ / ___ ___ ___ ___ / ___ ___ ___ ___
Expiry Date: __ __ / __ __
Name on Card: _________________________________
Signature: _____________________________________
Return this form to:
Freedom of Information Officer
RSPCA (Victoria)
3 Burwood Hwy
Burwood East VIC 3151
or by email to
xxx@xxxxxxxx.xxx.xx
(Staff use only) Application Fee Received: ________________________________ Receipt No. __________________
The Royal Society for the Prevention of Cruelty to Animals (Victoria)
ACN 131 965 761 ABN 56 749 449 191