Freedom of Information Request Form

REQUEST FOR ACCESS TO INFORMATION UNDER THE FREEDOM OF INFORMATION ACT 2000

SECTION 1 - APPLICANT DETAILS

Applicant's full name (including title) *

Address (including postcode) *

Telephone number (a telephone number would be helpful in case we need to contact you about your application) *

E-mail address *

SECTION 2 - FORM OF ACCESS

Preferred format for receipt of information (eg paper copy, large print, computer disk, e-mail) *

SECTION 3 - DETAILS OF REQUEST

In the space below, please describe the information which you are requesting, giving us as much detail as possible. Please be as specific as possible about the actual information you require. bearing in mind that a file may be very large and you may only require part of it. This will help us identify and locate the information which you are requesting.

I request the following information: *

Date *

CONTACT DETAILS - Freedom of Information Officer, NIFRS, 1 Seymour St, LISBURN, BT27 4SX. Tel : (028) 9266 4221 Fax : (028) 9267 7402 E-mail : foiofficer@nifrs.org