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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