Application for External review

Privacy Notice: The Information Commissioner has the power to conduct external reviews of decisions made under the Right to Information Act 2009, Chapter 3 of the Information Privacy Act 2009, and the now repealed Freedom of Information Act 1992. You are providing the information on this form to the Office of the Information Commissioner so that the Information Commissioner can conduct the external review you are requesting. Your personal information will only be used for this purpose, however you should be aware that the external review process may require the Office of the Information Commissioner to disclose your information to other participants in the external review or to concerned third parties. This will generally not include any information which is claimed to be exempt from release or contrary to the public interest as set out in sections 48 and 49 of the Right to information Act, or information claimed to be exempt under the Freedom of Information Act. Additionally, the Information Commissioner publishes external review decisions and reasons for those decisions.

Title: * select...MrMrsMsDr

First Name: *

Last Name: *

Agent Information

If you are an agent making an application on behalf of a client please include your details here

Agent Contact Name:

Organisation Name:

Contact Phone Number: *

Email Address:

Postal Address

address line 1: *

address line 2:

City/Town: *

State: *

Post code: *

Initial FOI/RTI/IP application

Agency or Minister to which your initial FOI application was made:

Date of initial FOI/RTI/IP application:

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Year19901991199219931994199519961997199819992000200120022003200420052006200720082009201020112012

Date of initial FOI/RTI/IP decision:

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MonthJanFebMarAprMayJunJulAugSepOctNovDec

Year19901991199219931994199519961997199819992000200120022003200420052006200720082009201020112012

Name of decision maker:

Or:

I have not received a decision within the timeframe required

Date decision was due:

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MonthJanFebMarAprMayJunJulAugSepOctNovDec

Year19901991199219931994199519961997199819992000200120022003200420052006200720082009201020112012

Internal review of decision

I have not applied for internal review:

I have not applied for internal review.

If you have applied for internal review.

Date of internal review application:

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MonthJanFebMarAprMayJunJulAugSepOctNovDec

Year19901991199219931994199519961997199819992000200120022003200420052006200720082009201020112012

Date of internal review decision:

Day12345678910111213141516171819202122232425262728293031

MonthJanFebMarAprMayJunJulAugSepOctNovDec

Year19901991199219931994199519961997199819992000200120022003200420052006200720082009201020112012

Name of decision maker:

Or:

I have not received an internal review decision within the timeframe required

Please outline why you dispute the decision:

Supporting Documents:

(Note: attachments must not exceed 8mb in total with each being no larger than 3mb in size. To commence an application, the Office primarily seeks your initiating application, the initial decision, any internal review application and any internal review decision. Additional documents can be supplied following commencement of your application.)

extra:

(Recommended: Initial decision or supporting document < 3mb)

extra:

(Recommended: Internal review application or supporting document < 3mb)

extra:

(Recommended: Internal review decision or supporting document < 3mb)