To be completed by all applicants - a name and contact address is required for all information requests, an email
address is sufficient for requests for non-personal information.
Title - tick box as appropriate
Mr. Mrs. Miss Ms.
Other (please specify)
Your name
Your address
Post code
Email address
To help us find the information you need please give us as much detail as possible including which section of the
Council you think has the information and the time period it covers, if applicable.
lease complete the other side before sending
Access to information
under Freedom of Information Act 2000 and
Environmental Information Regulations 2004
1. About you
Our reference:
2. The Information you are requesting
If the council holds and is able to release the information you have requested, how would you prefer the
information to be provided to you? (Please tick the appropriate box)
Electronic copy
Printed copy
Make an appointment to view
Our preferred format for providing information is in electronic Adobe PDF format. This is more convenient for you, for
example the information will searchable, and cost effective for the council.
If you require electronic information in a format other than
Adobe pdf please state which format you prefer.
Note: It may not be possible to provide some information in a specific format.
Requests for non-personal information
Requests for non-personal information may be subject to a charge, if so you will be informed of this charge by
way of a 'Fees Notice'. You will have three months from the date of the notice to pay the fee by telephone:
01636 650000, after which time the request will be closed.
Advice and assistance
If you need any help or have any questions regarding requests for information please contact us at the address
below, email us at or telephone 01636 650000.
Please return this form to: Information Governance, Newark & Sherwood District
Council, Castle House, Great North Road, Newark, Notts NG24 1BY
When we receive your completed form we will send you with a unique reference number for your request and
give you a date by which you will receive the information or, if we are unable to provide the information, we will
tell you why and explain your rights to appeal against our decision.
The Data Protection Act 2018 and GDPR Privacy Notice
The personal information you provide will only be used by Newark and Sherwood District Council, the data controller, in accordance with the Data Protection Act 2018
and GDPR to process your application. The basis for processing this information is to enable the council to provide the service that you are requesting. Your personal
information will not be shared with any third party other than our data processor. Your personal information will be kept in accordance with the council's retention
policy and schedule. For further details about how your information may be used or about your rights under this legislation please see our full privacy notice on our
website or contact the council's Information Governance Officer on 01636 655216 or email
3. Providing the information
4. Important information
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