Freedom of information request form

This form will help you to make a valid FOI request to WorkSafe under the Freedom of Information Act 1982.
Last updated

Mar 2021

Reading level


File type and size

PDF, 76.32 kB

Document length

2 pages

What it contains

This is a blank form. Please provide as much information as you can about the documents you want to access. This will help WorkSafe find the relevant documents.

Important: Please download this PDF to your computer. You can fill it in using Adobe Reader but it will not save if you attempt to fill it in using your web browser.