FOI Application » Coolgardie Shire Council

Applicant details

Under sections 12 and 46 the Freedom of Information Act 1992.

First name*

Last name*

Organisation

Street Address:*

City:*

State:*

Post Code:*

Country:*

Contact Number*

Email address*

Details of request

I am applying for:*

Access to non-personal information
Access to personal information
Amendment of personal information

Proof of identity (access to personal information & amendment of personal information only)

Max File Size: 10.00 MB
Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx

Please describe the document(s) you are requesting (include any information that will assist the Shire to identify the document(s), including subject matter and date ranges)*

Type of access required*

I require a hardcopy of the document(s)
I require an electronic copy of the document(s)
I would like to inspect the document(s)

Payment details

If your application requests access to non-personal information, that is, a document that contains personal information about a third party (other than you), or documents relating to the department’s functions and services, you are required to pay a $33.00 application fee (as per the Shire's 2024-2025 fees & charges).

Payment is required at the time of lodging the application.

Bank transfer details:
BSB 016-719
Account 2015-87602
Reference: FOI + Applicants surname

I will pay the FOI application fee by:*

Bank transfer (details listed above)
By phone - 08 9080 2111
In person - Coolgardie Community Recreation Centre
In person - Kambalda Community Recreation Facility
Payment is not required (personal information application)

Signature of applicant:*