Application for a Plantation Certificate

This form is to be used to apply for a Plantation Certificate under section 68 of the Plantations & Reafforestation Act 1999.

Person Requesting or Applicant details

What best describes your position?

OwnerManagerSolicitor acting on behalf of Owner

First Name

Last Name

Organisation

Phone

Please use international dialing code, area code, and no spaces eg. +61290009000

Mobile

Please use international mobile dialing code, and no spaces eg. +61470070000

Mailing address details:

Street

Suburb

Postcode

State

Plantation and Land Details

Authorisation Number (if known)

Land to which application applies:

Lot:

e.g. Lot 6

DP:

e.g. DP 83314

Add another Lot/DP

Property Name (or State Forest Name)

Local Government Area (LGA)

Start typing to find council not listed

Subject

Nearest DPI Forestry Plantations Office is located at:

WollongbarCoffs HarbourMoss ValeAlbury

Privacy Statement

All personal information collected from this form is subject to the Privacy and Personal Information Act 1998 (the Act). You should provide the information in order for NSW DPI to ensure our plantation records are accurate and up to date. NSW DPI may use the information and disclose it to other authorised agencies in accordance with the Act. The information may be pooled in a manner not identifying individuals to form industry based statistics. See our full privacy policy at https://www.regional.nsw.gov.au/privacy/privacy-management-plan.

I have read and agree to the Privacy Statement above.

I agree