Right of Accessibility to Information

 Form STATE INTELLECTUAL PROPERTY OFFICE REQUEST FOR ACCESS TO INFORMATION OF THE REPUBLIC OF CROATIA Fill out clearly in block letters Ulica grada Vukovara 78 10000 Zagreb

REQUEST FOR ACCESS TO INFORMATION

Applicant:

Name and surname, company or title:

…………………………………………………………………………………………………

Address, seat:

………………………………………………………………………………………………….

Phone No:……… e-mail:……………………

SUBJECT: Request for access to information

Requested information:

………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… …………………………………………………………………………………………………

Proposed form of access to information (Eg access to documents, delivery of document copies):

…………………………………………………………………………………………………

Applicants’ signature

In______, on ______201____year ………………………

*Note: The public authority is entitled to compensation of real material costs by the applicant, concerning provision and delivery of requested information.