Supplement 9: Example Restricted Access Species Data Access Request Form Template
(Version 1/12/2022)
Organisation / Research Institution Name
Address
Indigenous Body / Organisation? Y/N
Requester (must be an accountable representative of the organisation)
First Name
Last Name
Email
OrcID
Project
Project Title
What is the purpose of the data request? (Choose an item)
Topic of Research (if applicable): (Choose an item) OR Industry Type: (Choose an item)
Is the data to be used for commercial purposes? Y/N
Public Benefit Statement (is there a public interest in the outputs and outcomes of this project?)
Data
Data Requested (provide exact name of dataset if known, otherwise describe the data you need)
Relevance of data to project
How often do you require this data? Single once off? / Defined period? / Ongoing?
Date required from: (date)
Date required to: (date)
What frequency and time period do you need the data for (if ongoing provide reasons to support this)?
Area: Whole Dataset / Specific Area(provide bounding box – i.e. max and minimum latitudes and longitudes in decimal degrees using datum GDA94)
What physical and IT controls will you use to ensure that the data are safe and secure during storage and use?
Who will be able to access the data? (Choose an item)
Name the group of people accessing the data (may be a business / organisational group / project team etc)
Does your proposed use of the data involve distribution of products (including publications) created from the data outside your organisation – describe how and to whom these products will be distributed and / or presented including any data transformations
If your access to full resolution data is not approved, would you like to receive a transformed dataset? Y/N