INFORMAL REQUEST FOR 
ACCESS TO INFORMATION  
SECTION 8 GOVERNMENT INFORMATION (PUBLIC ACCESS) ACT 2009
See also Council’s 
APPLICANT DETAILS  
factsheet “How to 
First name
Surname
Access Information held 
by Council”
Street number
Street name
Suburb
State
Postcode
Phone number
Email address
Do you have special needs for assistance with this application?
Yes
No
If yes, provide details of 
how we could assist.
APPLICATION DETAILS
Please give as much 
detail as possible to 
help us identify the 
information you want to 
access.
Date range of the information required Start date
End date
Are you seeking personal information?
Yes
No
The provision of 
personal information is 
subject to satisfactory 
proof of identity being 
provided if information 
is made available
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COPYRIGHT
Under no circumstances will Council reproduce or copy information that is copyright 
protected. You will be notified if these restrictions prevent the copying of the information 
that is sought.
How do you wish to access the information?
Inspect the information
A copy of the information
DECLARATION
I have read the information provided in relation to copyright and I understand that I am 
not entitled to copies of copyrighted information. I understand that I can view information 
free of charge, and that if I request copies not protected by copyright provisions, fees are 
payable as outlined in Council’s annual schedule of fees and charges.
Signature
Date
CONTACT US
Penrith City Council 
PO Box 60  
PHONE:  (02) 4732 7777
601 High Street  
PENRITH NSW 2751  
FAX: 
(02) 4732 7958
PENRITH NSW 2750  
EMAIL: xxxxxxx@xxxxxxxxxxx.xxx.xxx.xx
  
 
WEB:  
www.penrithcity.nsw.gov.au
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