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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