Get the free Freedom of Information Request Form - Northern Health

AFFIX PATIENT IDENTIFICATION LABEL HERE U.R. NUMBER: SURNAME: FREEDOM OF INFORMATION APPLICATION FORM & PROCESSING CHECKLIST GIVEN NAME: DATE OF BIRTH: / / SEX: SECTION 1 Applicant s Details Name/Agency

How to fill out dom of information request

How to Fill Out a DOM (Declaration of Information) Request:

1. Begin by obtaining the necessary DOM request form. This form can usually be found on the official website of the organization or government agency you are seeking information from.
2. Carefully read the instructions provided on the form. It is important to understand the requirements and guidelines for filling out the DOM request accurately.
3. Start by providing your personal information, such as your full name, address, phone number, and email address. Make sure to provide accurate and up-to-date information as this will be used to communicate with you regarding your request.
4. Identify the specific information you are seeking and clearly state it in your request. Be as specific as possible to ensure that the organization knows exactly what documents or records you are interested in obtaining.
5. If applicable, indicate the time frame or specific dates related to the information you seek. This will help the organization narrow down their search and locate the relevant documents more efficiently.
6. Sign and date the DOM request form. Your signature verifies that you are the individual making the request and that you understand and agree to the terms and conditions stated on the form.

Who Needs a DOM (Declaration of Information) Request?

1. Individuals: Any individual who requires access to specific information held by an organization or government agency can use a DOM request. For example, if you are seeking your own medical records from a hospital, you would need to submit a DOM request to obtain that information.
2. Researchers and Journalists: Professionals in fields such as research or journalism often require official documents or records to support their work. They may submit a DOM request to obtain the necessary information for their research or reporting purposes.
3. Legal Professionals: Lawyers and legal professionals frequently use DOM requests to gather evidence or information related to their clients' cases. This allows them to have access to the relevant documents to build a strong legal argument.

It is important to note that the specific requirements and processes for submitting a DOM request may vary depending on the organization or government agency. Therefore, it is always recommended to carefully review the instructions provided and follow the guidelines accordingly.

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