<p> 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</p><p>REQUEST FOR ACCESS TO INFORMATION</p><p>Applicant:</p><p>Name and surname, company or title:</p><p>…………………………………………………………………………………………………</p><p>Address, seat:</p><p>………………………………………………………………………………………………….</p><p>Phone No:……… e-mail:……………………</p><p>SUBJECT: Request for access to information</p><p>Requested information:</p><p>………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… …………………………………………………………………………………………………</p><p>Proposed form of access to information (Eg access to documents, delivery of document copies):</p><p>…………………………………………………………………………………………………</p><p>Applicants’ signature</p><p>In______, on ______201____year ………………………</p><p>*Note: The public authority is entitled to compensation of real material costs by the applicant, concerning provision and delivery of requested information.</p>