Please tick, cross out or complete as appropriate
Name of BHCC IO/officer dealing with request |
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Name of Requestor |
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Register Reference Number
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Date Request received
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Do any exemptions apply to disclosing this information or are there reasons why you think this information should not be disclosed |
Yes / No |
If Yes, you must refer this to Paul O'Neill who will get advice from the Information Commissioners Office or a legal opinion if deemed necessary |
Are you unsure of whether the data can be disclosed |
Yes / No |
If Yes i.e you are unsure, you must refer this to Paul O'Neill who will get advice from the Information Commissioners Office or a legal opinion if deemed necessary |
Is there a charge for the requested information ( see separate guide on charging) or a charge for disbursement |
Yes / No |
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If there is a charge, contact Paul O'Neill 01273 291207 A fees notice will be sent to requestor |
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Date that the 20 working days allowed for response elapses
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20 days clock stops ticking until fees have been paid or cheque cleared |
Revised date for response to be sent
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Paul O'Neill must be informed before information is sent to the requestor |
Date requested data is sent to the requestor or date that requestor is informed that the data will not be disclosed together with the reasons why |
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Please return this completed form to Paul O'Neill x1207, ICT &E-Government, Kings House
Freedom of Information Request
Check List
foiCCHKLST VERSION 01 December 2004 page 1 of 1