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Freedom of Information Request form
This form is to be used to make a request for information held by North East Lincolnshire Council under the Freedom of Information Act 2000.
Applicant
First Name
Last Name
Please provide a correspondence address (Postal or E-mail address)
Postal Address
Postcode
Email Address
If you enter an email address, we will send you an email with a PDF copy of this form to you.
We may need to contact you to clarify the nature and extent of your request. If you are happy for us to contact you by telephone to do this, please provide your telephone number below. Providing your telephone number is optional.
Telephone number
As a council we are committed to the use of electronic means to provide you with the information you request
Please tell us how you would prefer to be contacted:	Please tell us how you would prefer to be contacted: Email Post
We are committed to meeting our responsibilities under the Disability Discrimination Act
If you require the information to be supplied in an alternative format please provide details	If you require the information to be supplied in an alternative format please provide details Braille Large Print Spoken Word Different Colour Background Other
Requested information will normally be provided in the English Language.
If you wish the information to be supplied in another language please provide details of your preference.
Please provide details of the information you require
Purpose or Reason for your request (you do not have to specify this, however it may help us to identify the information which is relevant and helpful to you)
As a registered Data Controller, North East Lincolnshire Council, will only process your personal data/information in accordance with the Data Protection Act.

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