To go back to the PAIA Manual, please click here.
PRESCRIBED FORM TO BE COMPLETED BY A REQUESTER
REQUEST FOR ACCESS TO RECORDS OF PRIVATE BODY
(Section 53(1) of the Promotion of Access to Information Act, No 2 of 2000)(Regulation 4)
PARTICULARS OF DOTSURE’S INFORMATION OFFICER
Requests can be submitted either via post or e-mail and should be addressed to the Information Officer as indicated below:
Mr John Fourie
Postal address: P O Box 9738, George, 6530
Physical address: 127A York Street, Hurteria Building, George, 6529
E-mail:
informationofficer@dotsure.co.za
PARTICULARS OF PERSON REQUESTING ACCESS TO THE RECORD
a) The particulars of the person who requests access to the record must be given below.
b) The address and/or fax number in the Republic to which the information is to be sent must be given.
c) Proof of capacity in which request is made, if applicable, must be attached.
PARTICULARS OF PERSON ON WHOSE BEHALF REQUEST IS MADE
This section must be completed ONLY if a request for information is made on behalf of another person
PARTICULARS OF PERSON REQUESTING ACCESS TO THE RECORD (IF A LEGAL ENTITY)
PARTICULARS OF RECORD
a) Provide full particulars of the record to which access is requested, including the reference number if it is known to you, to enable the record to be requested.
Fees
a) A request for access to a record will be processed only after a request fee has been paid.
b) You will be notified of the amount to be paid as the request fee.
c) The fee payable for access to a record depends on the form in which access is required and the reasonable time required to search for and prepare a record.
d) If you qualify for exemption of the payment of any fee, please state the reason for exemption.
FORM OF ACCESS TO RECORD
Form in which record is required.
Select appropriate option
NOTES
a) Compliance with your request in the specified form may depend on the form in which the record is available.
b) Access in the form requested may be refused under certain circumstances. In such a case you will be informed whether access will be granted in another form.
c) The fee payable for access to the record, if any, will be determined partly by the form in which access is requested.
1. If the record is in written or printed form:
2. If record consists of visual images:
3. If the record consists of recorded information that can be reproduced in sound:
4. If the record is held on computer or in an electronic or machine-readable form (this includes photographs, slides, video recordings, computer generated images, sketches, etc.):
If you requested a copy or transcription of a record (above) do you wish the copy of transcription to be posted to you? Note that postage is payable by you.
Note that if the record is not available in the language you prefer, access may be granted in the language in which the record is available.
PARTICULARS OF RIGHT TO BE EXERCISED OR PROTECTED
NOTICE OF DECISION REGARDING REQUEST FOR ACCESS
You will be notified in writing whether your request has been approved or denied. Should you wish to be informed in another manner, please specify the manner and provide the necessary particulars to enable compliance with your request.
DECLARATION
dotsure.co.za © 2025 | All Rights Reserved | Terms of Use | Disclaimer | Resolution | Legal disclosures and policies | Privacy
Any reference on this website to "dotsure.co.za", "we", "us", or "our" refers to Dotsure Limited (Registration number 2006/000723/06) (FSP39925) and Dotsure Life Limited (Registration number 2012/066504/06) (FSP44793), licensed as non-life and life insurers respectively and authorised financial services providers. Client testimonials do not constitute financial advice.
**#1 Insurer as rated on Hellopeter.com (from December 2019 to December 2021)