PAIA Request for Access to Record Promotion of Access to Information Act (PAIA) — submit your request for access to records held by AUCOM. PAIA Form New To: The Information Officer Address Please Select * Request is made in my own name Request is made on behalf of another person Email Address Fax Number Personal Information Particulars of Record Requested Provide full particulars of the record to which access is requested, including the reference number if that is known to you, to enable the record to be located. Description of record or relevant part of the record Reference number, if available Type of Record Record is in written or printed form Record comprises virtual images (this includes photographs, slides, video recordings, computer-generated images, sketches, etc.) Record consists of recorded words or information which can be reproduced in sound Record is held on a computer or in an electronic, or machine readable form Form of Access Printed copy of record (including copies of any virtual images, transcriptions and information held on computer or in an electronic or machine readable form) Written or printed transcription of virtual images (this includes photographs, slides, video recordings, computer-generated images, sketches, etc.) Transcription of soundtrack (written or printed document) Copy of record on flash drive (including virtual images and soundtracks) Copy of record on compact disc (including virtual images and soundtracks) Copy of record saved on cloud storage server Manner of Access Postal services to postal address Postal services to street address Courier service to street address Facsimile of information in written or printed format (including transcriptions) Email of information (including soundtracks if possible) Cloud share/Transfer Preferred language (Note this: if the record is not available in the language you prefer, access may be granted in the language in which the record is available) Fees A request fee must be paid before the request will be considered. You will be notified of the amount of the access fee to be paid. The fee payable for access to a record depends on the form in which access is required and the reasonable time required to search for and prepare a record. If you qualify for exemption of the payment of any fee, please state the reason for exemption. Indicate which right is to be exercised or protected Explain why the record requested is required for the exercise or protection of the aforementioned right Particulars of Right to be Exercised or Protected If the provided space is inadequate, please continue on a separate page and attach it to this form. The requester must sign all the additional pages. Reason You will be notified in writing whether your request has been approved or denied and if approved the costs relating to your request, if any. Please indicate your preferred manner of correspondence: Postal address Facsimile Electronic communication Other * This serves as Signature of Requester / person on whose behalf request is made * Submit ⌯⌲
