Access to Council
Information
Government Information
(Public Access) Act 2009
Expiry date: 30 June 2025
About this form
1. This form is to be used for access to information held by Council under the provisions of the Government Information
(Public Access) Act 2009.
2. Council will provide access to information it holds except where there is a legal requirement exempting Council from
releasing the document or where there is an overriding public interest against disclosure of the information.
3. Council will not disclose the name, address, or other personal information of members of the community who report, in
good faith, information to Council relating to actions of others who may have acted contrary to laws and regulations.
4. Applications for access to information will be assessed in accordance with the relevant legislative requirements and
procedures in Council’s Procedures Database.
5. File retrieval fees for all files dated pre 2010 apply in accordance with Council’s adopted fees and charges.
File retrieval fees are to be paid prior to the files being retrieved.
6. Information compilation and/or copy charges apply in accordance with Council’s adopted fees and charges.
Please note all files pre-2010 require a file retrieval fee to be paid, prior to file retrieval.
7. Further information in relation access to information is available on Council’s website at
www.woollahra.nsw.gov.au/council/access_to_council_information.
Type of application request
I am submitting an
informal application for access to Council information
☐
(no application fee)
I am submitting a
formal application for access to Council information
☐
($30.00 application fee)
plus processing fees (as applicable)
Note: Council encourages applications for access to information to be made, in the first instance, under the informal request provisions of the Government
Information (Public Access) Act 2009. If the information you seek access is not available via an informal application, staff wil contact you.
Applicant details (
Note: All correspondence will be directed to the applicant)
Title:
Ful name:
Company name:
(if applicable)
Address:
Phone:
Email address:
If you submit your form by email or post, preliminary assessment of your application may take up to ten business days once all required information has
been provided. You wil be contacted by a Council officer for payment (if required)
SC5750 TRIM
Page 1 of 3
Information requested
(Applying for access to property information, please provide full address and DA, BA and CC No’s if known)
Detail the information you seek access to (providing as many details as possible). Please note if you do not provide sufficient
detail, there may be delays in processing your application.
If your application relates to a Development Application/Building Application/Construction Certificate, please identify the
information you are seeking access to.
DA/BA/CC Number
Approx. Date Range
(if known):
(if known):
☐ Assessment Report
☐ Development Application and/or Plans
☐ Occupation Certificate
☐ Consent
☐ Construction Certificate and/or Plans
☐ Notices/Orders
☐ Reports
☐ Submissions
(e.g. Heritage/Landscaping/SEE/Geotechnical)
☐ Other (please specify below):
Form of access requested
☐ View/inspect the information
Please note electronic compilation fees and/or
scanning/photocopy fees may apply
Proof of identity / owner’s consent
The information relates to my personal affairs
Yes: ☐ No: ☐
I am the owner of the property
Yes: ☐ No: ☐
I act for the owner of the property
Yes: ☐ No: ☐
Are you seeking access to personal information?
Yes: ☐ No: ☐
Proof of authorisation to act for the owner of the property is required before Council will permit access to any information that
is not “Open Access” information under the Government Information (Public Access) Act 2009. **When seeking access to
personal information, an applicant must provide proof of identity in the form of a certified copy of any one of the following
documents.
☐ Australian driver’s licence (with photograph, signature, and current address)
☐ Other proof of signature and current address detail
☐ Proof of authorisation can be written authorisation attached to this application or completion of the following Owner’s
Consent declaration
SC5750 TRIM
Page 2 of 3
Owner’s consent:
As the owner(s) of the above property, I/we give consent to this application.
Owner’s name:
Signature:
Date:
Owner’s consent:
As the owner(s) of the above property, I/we give consent to this application.
Owner’s name:
Signature:
Date:
Declaration and signature
I,
declare that:
☐ I agree to pay all required fees in accordance with Council’s adopted fees and charges.
☐ I declare that all the information given on this application form is true and correct.
☐ I understand that I must seek the Copyright Owner’s consent in order to use any part of a copyright document for any
other purpose.
Applicant’s signature
Date
Privacy
For more information about Privacy & Personal Information Policy:
www.wool ahra.nsw.gov.au/privacy.
Lodgement details
Mail to:
Woollahra Municipal Council
In person:
Council Chambers
PO Box 61 Double Bay 1360
536 New South Head Road
Double Bay NSW 2028
Email:
records@wool ahra.nsw.gov.au
Telephone:
(02) 9391 7000
Website: www.woollahra.nsw.gov.au
Payment can be made at our Customer Service Department by the following methods: cash, EFTPOS, Money Order
cheque (make cheques payable to Woollahra Council), or credit card – American Express, MasterCard or Visa.
Credit card payments wil incur a processing fee.
OFFICE USE ONLY
Government Information (Public Access) Act Application Fee (17)
CSO name:
Fee: $
Date:
SC5750 TRIM
Page 3 of 3
