Please note: questions marked with an * are required and must be completed before submitting this application.
This form should be used if you wish to apply for an internal review of a decision made under the Government Information (Public Access) Act 2009 (GIPA Act).
You must lodge this form within 20 working days after notice of the decision was given to you. If more than one person is entitled to a review, the review period will commence at the expiration of the 20 days.
If you need help in filling out this form, please contact Council’s Governance Coordinator Phone (02) 6499 2222.
General information about accessing government information under the GIPA Act is available on the Information and Privacy Commission NSW (IPC’s) website: www.ipc.nsw.gov.au
Your details
Form of Access
In the interests of the environment and where possible, this information will be provided electronically, therefore please ensure you have provided an email address. An alternative method of provision my be considered.
A copy of the documents will be provided to you electronically to the email address provided on this application.
Fees and Charges
Once you have submitted this form you will need to pay your application fee of $40. Your application will not be processed until payment has been received.
You can pay the application fee (note, your application will not be processed until payment is made):
by calling Council's customer service staff on 02 6499 2222 once you have submitted this form and pay with a credit or debit card
by cheque, posted to Bega Valley Shire Council, PO Box 492, Bega NSW Bega
by visiting the Bega Office, Zingel Place, Bega
Decision details
OR
If you would like a particular aspect of the decision reviewed under (s82(3)) of the GIPA Act the internal review can be limited to a particular aspect of a reviewable decision (such as by being limited to particular information to which the decision relates)