Law Courts Library Access Form

Library Access
July 2016 - June 2017 / ABN 11 005 693 553
GPO Box 1484 Sydney NSW 2001 DX829
Tel: 2 9230 8229 Fax: 2 9230 8655
Email:
‘This will become a tax invoice / receipt upon payment’
Please select form type / ☐ Application / ☐ Change of Details / ☐ Renewal

Applicant Details

Name of Library : / Click here to enter text.
User ID Barcode: / 2 8232 0000 / Click here to enter text.
DX Box : / Click here to enter text.
Address 1 / Click here to enter text.
Address 2 / Click here to enter text.
Telephone : / Click here to enter text.
Facsimile : / Click here to enter text.
Library Email: / Click here to enter text.
Librarian’s Email: / Click here to enter text.
Librarian in charge: / Click here to enter text.
Librarianship qualifications (include awarding institutions): / Click here to enter text.
Librarian Signature: / Click here to enter text.
Application Date: / Click here to enter a date.

I declare that I am qualified for admission as an Associate of the Australian Library and Information Association, and hereby state that I have studied the provisions of the ACLIS interlibrary loan code and the Law Courts Library Rules, as amended 2016. I undertake to ensure that any staff under my control who use the library access card issued to me will be trained by me in the use of the Library and will abide by the ACLIS code and the Library Rules.

Rules

The Law Courts Library rules relating to access are available at the Library and online.
For further information visit www.lawcourtslibrary.justice.nsw.gov.au

Office Use Only

Certified by: / Date Updated:

Payment Details

NB. Please return a copy of the access renewal form with your payment.

Please select payment option: ☐EFT ☐Cheque ☐Debit Card ☐*MasterCard ☐*Visa (*Surcharge Fee 0.40%)

Cheques payable to: Department of Justice

Total Amount (GST Inclusive): / ☐ $764.90 or
☐ $767.96* (including credit card surcharge*)
Card Number: / Click here to enter text.
CCV: (*Found on the back of the card) / * Click here to enter text. / (Last 3 digits)
Expiry Date: / Click here to enter text.
Name of Cardholder: / Click here to enter text.
Signature of Cardholder: / Click here to enter text.

EFT Details


Account Name: Department of Justice Operating Account
Bank Name: Westpac
Branch Address: NSW Government Department

Level 3, 275 Kent Street

SYDNEY NSW 2000


BSB No: 032-001
Account No: 201716
Please send remittance advice for payments to:
Email: and ,

OR
Fax: 02 - 8688 9682 Attn: Supervisor, Revenue, Finance & Strategy and

Fax: 02 - 9230 8655 Attn: Office Manager, Library Services, Law Courts Library


Important:

To ensure proper updating of our payment records and to help us identify your remittance, please quote the following when making payment:

1. Your entity name abbreviated e.g. JWS, Corrs etc
2. LCL Access 2016/2017
Please forward the remittance advice as soon as the payment is made.

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