~- F. Form of access to record l/fyou are prevented by a disabilityto read view or listen to the record in form the of access for in I to Piisrovided required. 4 hereunder, stateyour disabiiiy a,?d indicate in which form the record 1 I c (Disability: I I record is required: 1 I ’ I / -I ‘ - I I i 1 which i ! 1 I Mark the appropriate box with an “X”. NOTES: (a) Your indicationas to the requiredform of access depends on the form in which the record is available. (b) Access in theform requested may be refused in certain circumstances. In such a caseyou will be informedif access willbe granted in anotherf o r m (c) Thefee payable for access to the record, if any, will be determinedpartly by the form in which accessis requested. 1 1. If the record is in written or printed form copy of record* 2. - inspection of record If recordconsists of visualimages (this includes photographs, slides, video recordings, computer-generated images, sketches, etc.) view the images 3. If record consists of recorded words or information which can be reproduced in sound I copy of the - listen to the soundtrack transcription of soundtrack* (audio cassette) (written or printed document)