Section 16 Manual

Appendix 4: Application form for appeal to the Office of the Information Commissioner

REQUEST FOR REVIEW BY THE INFORMATION COMMISSIONER UNDER SECTION 34(2) OF THE FREEDOM OF INFORMATION ACTS, 1997 AND 2003

Return completed form to :
Office of the Information Commissioner, 18 Lower Leeson Street, Dublin 2.

Name: __________________________________

Address:____________________________________________________________________

___________________________________________________________________________

Telephone Number: ________________________ E Mail : _________________________

Name of public body to which original FOI request was submitted:

___________________________________________________________________________

Public body's case reference number if available: _____________________

Details of FOI request submitted to public body:

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

Have you requested an internal review of the original decision made by the public body?____

If so, has a decision issued to you by the public body in relation to your request for internal review? ______

*I enclose a fee of : € 50______ € 150______ No Fee Applicable ______

Signed : ___________________________ Date : ______________________

*Fees
In certain cases a fee must be paid at the time of the making of an application for review to the Information Commissioner. Where a fee, which is required to be paid, is not paid, the Commissioner is obliged to refuse to accept the application and the application is deemed not to have been made. Further information regarding the fees payable is provided in the attached leaflet.

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