Information Sharing Request

Information Sharing Request

Request to access information held by the Department of Primary Industries and Regional Development.
Name of requesting entity (the public entity or external entity making the request)
Name of person making the request on behalf of the requesting entity

First NameLast Name
Contact number
Please enter a valid phone number.Format: (000) 000-0000.
Type of requesting entity
Please confirm that this request is an information sharing request for the purpose of the PRIS Act
Outline the government information to which the request relates (including date range of requested information if known)
Outline the purpose for the request?
Outline the activity that would be carried out for the permitted purpose/s by the requesting entity.
Outline how the information will be used for the purposes of the activity.
Outline how the requesting entity would otherwise handle this information. NB: 'handle', in relation to information, means to collect, hold, manage, use or disclose the information.
Where is the information held (if known).
Has the information been requested before?
If the requesting entity has been in contact with a DPIRD officer about this matter, please provide their name and / or job title.
Collection Notice

The Department of Primary Industries and Regional Development (DPIRD) is committed to protecting your privacy. We are collecting your personal information (including your name, contact details and position at requesting entity) to enable us to assess and process your information sharing request. We may share this information with the requesting entity and any other entities as required by law. If you choose not to provide certain personal information, we may be unable to process your request or provide you with related services. You have the right to access and correct your personal information held by the department. To do so, please contact us by visiting our website at www.dpird.wa.gov.au/privacy.
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Information Sharing Request

Collection Notice