City of Joondalup Forms – A Global City: Bold | Creative

20:25:35

FOI request (non-personal information)

FOI requests for non-personal information attract a submission fee. Requests for personal info do not. Hence the separation)

Applicant*
First Name Surname
Address*
(This must be a valid Australian address)

Street Address Suburb State Postcode
Phone*
Mobile*
Email*
Is the application on behalf of an organisation?*
- Yes
- No
Name of organisation/business*
Description of the information being requested*
If possible please indicate a date range for the document/s.
Start Date*
DD slash MM slash YYYY
End Date*
DD slash MM slash YYYY
Form of access*
- I wish to inspect the document/s
- I require a hard copy of the document/s
- I require an electronic copy of the document/s
Acknowledgement*
- I understand that before I obtain access to information or documents I may be required to pay additional processing charges in respect of this application and that I will be supplied with a Statement of Charges if appropriate
Special concession for additional fees and charges:*
(Are you requesting special consideration for a reduction of any additional fees or charges in the event additional processing fees or charges are identified during the handling of this application?)
- Yes
- No
Reason for special consideration regarding additional fees or charges*
This field is hidden when viewing the form
payment_process_mode
NOTE: THE PAYMENT PROCESSING CONTROLS ON THIS FORM ARE CURRENTLY SET FOR TEST MODE
(Use either 5555444433331111 or 4444333322221111 for the Credit Card No. with 111 as the CCV)
This field is hidden when viewing the form
Payment Type Code
Application Fee*
Price:
Total to be paid (GST N/A)
$ 0.00
This field is hidden when viewing the form
GST Info
This field is hidden when viewing the form
Payment Type
Credit Card*

MasterCard
Visa
Supported Credit Cards: MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Name
This field is for validation purposes and should be left unchanged.