Port Arthur - Application for Assessed Disclosure Form

Information Disclosure
- Application for Assessed Disclosure Form

The World Heritage listed Port Arthur Historic Site From Scorpion Rock

View of the Port Arthur Historic Site from Scorpion Rock (Credit: PAHSMA, photograph by Joe Shemesh, 2007)

Application for Assessed Disclosure Form

Please use this form to assist you in making an application to the Port Arthur Historic Site Management Authority for information disclosure under the Right to Information Act 2009.

You will need to contact the Authority directly to arrange payment of the fee and send proof of identity, if required, by mail. Contact the Authority on 1800659 202 or mail materials to

Right to Information Officer
Port Arthur Historic Site Management Authority
Port Arthur TAS 7182

Plan You Visit:

Application for Assessed Disclosure

Applicant details

Full Name *

Postal Address *

Daytime phone number *

Home phone number

Mobile phone number

Email Address *

Public authority or Minister applied to *

General topic of information applied for: *	(one sentence summary of information requested)

Description of efforts made prior to this application to obtain this information: *

Application Fee (please select appropriate item) Application fee included Application for waiver - Member of Parliament Application for waiver - Impecunious applicant Application for waiver - General public interest or benefit

If application for personal information, proof of identity provided

Details of the Information sought: *