Before you apply
Complete this form to authorise a nominated person or organisation to act on your behalf. This will allow your nominated representative to make enquiries and changes related to your Crown land account/s.
Important information
- By selecting the Submit button, you have read and agreed to the Department's privacy statement.
- The fields marked with an asterisk * are mandatory and must be completed in order to submit the form.
- After you have submitted your form, a copy of the application can be emailed to the address entered in the form or a copy can be saved or printed.