E.
Fees
,
A requestfor access to a record, other than a record containingpersonal
(4)
information aboutyourself; will be processed only after a requestfee has been
paid
(b)
You will be notified of the amount requiredto be paid czs the requestfee.
(c)
Thefee payablefor access to a record depend$on the form in which access is
required andthe reasonable time requiredto searchfor and prepare a record.
Ifyou qual@ for exemption of the payment of my fee, pIease state the reason
(d)
therefor.
-__
fees: payment
ofexemption
fromfor
Reason
-
~
.
-
Form of access to record
F.
you are prevented by a disabilityto read, view or listen to the record in the form of access
IIpr
ovided for in 1 to 4 hereunder, state your disabilityand indicate in which form the record is j
required.
lisabiiity:
r-
Form in .which record is required:
Mark the appropriate box with an “X”.
NCTES:
(a)
Your indication as to the required form of acces:; dependson the form in which
the recordis available.
(b)
Access in the form requested may be refused in certain circumstances. In such a
caseyou will be informedif access will be granted
in anotherf o m
(c)
Thefee payable for access to the record, if any, will be determinedpartly by the
form in which access is mquested
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