Freedom of Information

Application to access documents

Under the Freedom of Information Act 1992 (WA) (s.12) (FOI Act)
Applicant Details
Name*

Title (Mr, Ms, Mrs, Dr, etc.)First NameLast Name
Preferred name
Phone*
Email*
example@example.com
For receipt of notices under s. 12(1)(c) of the FOI Act, provide a postal address in Australia.
Postal Address*

Street Address

Street Address Line 2

CityState

Postcode
Organisation
If you are seeking access to document/s on behalf of another person or organisation, a signed and dated statement of authority must be included with the application

Information Type
Type of information requested*

Personal Amendment (no fee)Personal Information (no fee)Non-personal Information ($30)
A request for access to documents containing your personal information only; can include your name, identifying details, contact information, personal images or other identifying matter.
Attach two forms of personal information identification*

Cancelof
Detail the document that is to be amended*
Type your name as the reference*
A request for access to documents containing information that is not limited to your personal information.

Electronic payment of the application fee must be made via the Bpoint link below. Ensure you provide your name as the reference.

Make payment
Receipt number*
After completing electronic payment of the application fee

Scope of FOI Application
Subject matter of the request*
Date/s or range of dates of requested document/s*

DayMonthYear
End date of requested document

DayMonthYear
This field is optional
Details of document/s being requested*
To facilitate efficient processing of your request, please specify the documents you are seeking by providing relevant details such as document type, authors, document reference if known etc. Broad descriptors such as ‘all documents relating to’ may hinder identification and result in delays.

Personal Information
Tick all boxes that apply

I consent to all 'personal information' of third parties being deleted from the requested document/s (information that would be removed as out of scope; names, contact details, signatures and identifying information of third parties that are not government officers).I consent to all 'personal information' of all government officers being deleted from the requested document/s (information that would be removed as out of scope; contact details, phone numbers and signatures of all government officers).I consent to 'prescribed details' of all government officers being deleted from the requested document/s (information that would be removed as out of scope; names and position titles of all government officers) Functions and duties of an officer would remain in scope.
Please note: If you tick any of the above boxes this means that the agency may not need to consult as widely, which means applications may be dealt with quicker and incur lower charges.
I consent to my name being disclosed to any third party that is consulted (as required by sections 32 and 33 of the FOI Act) who requests to know the identity of the applicant. (Providing this information to third parties who ask for it enables the consultation process to be finalised more efficiently and quickly as third parties are generally more willing to consent to the release of personal and/or business information if the applicant is known.

Lodging an application
Please note: FOI applications are not valid until BOTH application form and payment of the application fee (if applicable) have been received.

Contact details
The Department of Primary Industries and Regional Development
Privacy and Information Access team
Locked Bag 4 Bentley Delivery Centre WA 6983
Phone: (08) 6552 1829
Email: foi@dpird.wa.gov.au

Notes
- Please provide sufficient information to enable the correct document/s to be identified.
- In accordance with s.29 of the FOI Act, the agency may request proof of your identity.
- If you are seeking access to document/s on behalf of another person or organisation, DPIRD will require authorisation in writing.
- Your application will be dealt with as soon as practicable and within the time specified in the FOI Act (45 calendar days after a valid application is received). However, should more time be required the DPIRD may request an extension of time from you/or the Information Commissioner.
- The Freedom of Information Act 1992 is available to download from the Parliamentary Counsel's website.
- The department's Freedom of Information Statement provides further information on FOI applications or you can contact the FOI Coordinator.
Forms of access
- The department's preferred method of providing access to documents is via a secure sharing platform, Objective Connect and instructions on how to access this workspace will be emailed to you with the Notice of Decision.
- If you require access by hard copy, please be aware there may be a cost involved. Contact the Privacy and Information Access Team for further advice.
Charges for processing applications
- Before obtaining access to documents, you may be required to pay processing charges.
- You will be supplied with an estimate of charges if appropriate.
- Discounts may be available in certain cases. For example, if you are considered financially disadvantaged and/or are the holder of a pensioner concession card, a reduction in processing charges may apply. (Application fee of $30 cannot be waivered for non-personal information).
- If you consider yourself entitled to a reduction, please advise when lodging your application and attach copies of pension card/s or other documentation to support your request.
To complete the FOI application, please sign below and click on Submit.
Applicant's signature*

Clear
Should be Empty:

Applicant Details

Information Type

Scope of FOI Application

Personal Information

Lodging an application