in reply to Having trouble finding a Win32::Perms that works

That is the right file to download. If thats the error you're getting, you're missing auto\Win32\Perms\Perms.DLL, which means you didn't install the module correctly. Try
ppm install http://www.roth.net/perl/packages/Win32-Perms.ppd
A Guide to Installing Modules

MJD says "you can't just make shit up and expect the computer to know what you mean, retardo!"
I run a Win32 PPM repository for perl 5.6.x and 5.8.x -- I take requests (README).
** The third rule of perl club is a statement of fact: pod is sexy.