Organisation / Business Name (if applicable) First Name * Last Name * Street Address or PO Box * Suburb * Postcode * Phone Email * Request Details Request type * Request for documents containing personal information only Request for non-personal documents that contain information relating to third parties* * (Incurs $30 application fee a City of Armadale Officer will contact you for payment) Document Description Please describe the documents you are requesting (include names, dates, location, subject matter or any other information that would assist with identifying the documents). Access Method * Email Post Collection Other Other access method Authorisation and Consent I consent to all 'personal information' of third parties being deleted from the requested document/s * I consent to all ‘personal information’ of third parties being deleted from the requested document/s (This includes: names, contact details, signatures and identifying information of third parties that are not state and local government officers) I consent to all 'personal information' and 'prescribed details' of WA state and local government officers being deleted from the requested document/s I consent to all ‘personal information’ and ‘prescribed details’ of WA state and local government officers being deleted from the requested document/s I consent to my name being disclosed to a third party consulted by the City of Armadale in relation to this application I consent to my name being disclosed to a third party consulted by the City of Armadale in relation to this application (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) Leave this field blank
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