Right to Information and
Information Privacy Access Application

PRIVACY NOTICE: Mareeba Shire Council is collecting your personal information in accordance with section 24 of the Right to Information Act 2009 (Qld) in order to process this application. Your personal information will only be accessed by authorised Council employees. Your personal information will not be used for any other purpose or disclosed to any other person or entity unless you have given us permission or we are required by law. Please refer to Council’s QPP Privacy Policy for further information on access or correction of personal information held by Council.

Should you prefer to fill out a paper form, click the button to download a blank pdf copy.

Download a copy of this form

Your Details

You must provide your full name if you are requesting documents that contain your personal information

First Name

Last Name

Organisation/Company name (if applicable)

Phone Number

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Sufficient contact details must be provided in order to process your application

Preferred Method of Contact *

E-mailPost

E-mail address

Postal Address

Street/PO Box

City

State

Postcode

Application Details

Which most closely describes your access application? *

All of the documents I’m applying for contain my personal informationI’m seeking access on someone else’s behalf, and all the documents contain that person’s personal informationSome of the documents I’m applying for do not contain my personal informationI’m seeking access on someone else’s behalf, and some of the documents do not contain that person’s personal informationNone of the documents I’m applying for contain my personal information OR I’m seeking access on someone else’s behalf, and none of the documents contain that person’s personal information

Application fee is payable

Mareeba Shire Council will contact you to advise how you should pay your application fee

Proof of Identity

Documents that provide sufficient evidence of identity include:

Certified copy* of:
- Current driver’s licence
- Identifying page of current passport
- Birth certificate
Copy of a prisoner’s identity card certified by a corrective services officer
Statutory declaration of an individual who has known the applicant for at least one year

* A certified copy means a copy of the document that is certified by a qualified witness as being a correct copy of the document. A qualified witness is a lawyer or notary public, a commissioner for declarations, a justice of the peace or a pharmacist.

I will attend Council to provide my proof of identity. (Must be provided within 10 business days)

Individual Proof of Identity *

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Person's Details

First Name *

Last Name *

Documents that provide sufficient evidence of identity include:

Certified copy* of:
- Current driver’s licence
- Identifying page of current passport
- Birth certificate
Copy of a prisoner’s identity card certified by a corrective services officer
Statutory declaration of an individual who has known the applicant for at least one year

* A certified copy means a copy of the document that is certified by a qualified witness as being a correct copy of the document. A qualified witness is a lawyer or notary public, a commissioner for declarations, a justice of the peace or a pharmacist.

I will attend Council to provide proof of their identity. (Must be provided within 10 business days)

Proof of their identity *

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Attach proof of authorisation to act on this person’s behalf

Examples of evidence of agent's authorisation:

A Will
Court order appointing the agent to act as the applicant's guardian
Client agreement authorising a legal practitioner to act for the applicant
Evidence the agent is the child's parent or legal guardian
Letter of authority from the applicant appointing the named agent to act on their behalf to make an application

I will attend Council to provide proof of my authorisation. (Must be provided within 10 business days)

Proof of authorisation *

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Particulars

Please provide specific and detailed information about the documents you are seeking, as this will assist in processing your application.

The subject matter of the documents you are seeking
Any other details you believe will assist us in dealing with your application

Details of Request *

Time Period/Date Range *