~-
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
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!
1
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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)