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Forms and permits

EPA maintains forms and permits that require completion and submission to EPA for review. Download the document, print out, sign and return to the address on the bottom of the file.

This page has documents available as:

  • Adobe PDF files - To view PDF files, you will need Adobe Acrobat Reader. If you don't have Acrobat Reader on your computer, download a free copy from the Adobe website.
  • Microsoft Word files - When you click on a link to a file in Word format, the document will open using the word processing package installed on your PC.
  • Microsoft Excel file - To view Excel spreadsheets, you will need Microsoft Excel. If you don't have it, you won't be able to view the document.

If you have any questions, contact the EPA Information Centre.

Access the forms and permits

Environmental Auditing
Waste transport forms and permits
Landfill levy forms
Works approval or licence forms and additional information
Reporting pollution (smoky vehicles and litter)
Ballast water forms
Other forms

Environmental Auditing


For more information, access the Environmental Auditing section of this website.

Application for appointment as Environmental Auditor

Form 1 - General Criteria
Download (Microsoft Word file)

Application for appointment as Environmental Auditor

Form 2 - Schedule A – Contaminated Land Specific Assessment Criteria
Download (Microsoft Word file)

Application for appointment as Environmental Auditor

Form 3 - Schedule B Industrial Facilities Specific
Assessment Criteria
Download (Microsoft Word file)

Application for appointment as Environmental Auditor

Form 4 - Schedule C – Natural Resources Specific
Assessment Criteria
Download (Microsoft Word file)
Notification of Request to Conduct an Environmental Audit of an Activity Download (Adobe PDF file, 39KB)
Notification of Request to Issue a Certificate of Environmental Audit Download (Adobe PDF file, 86KB)

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Waste transport forms and permits

For more information, access the waste section of this website.

Annual Return – Accredited Agents (Waste Transport) Download (Adobe PDF file, 56KB)
Annual Return – Accredited Agents (Waste Transport) Aggregate Download ( Microsoft Excel file, 52KB)
Annual Return – Waste Producer spreadsheet Download (Microsoft Excel file, 135KB)
Application for Authorisation as an Accredited Agent

Instructions (Adobe PDF file, 97KB) for completion of the application

Download (Adobe PDF file, 86KB)
Application for Consent Pursuant to Condition 3 of the Variation of an Order Relating to Notifiable Chemicals (PCBs) Dated 1 February 2000 Download (Adobe PDF file, 48KB)
Application for Consignment Authorisation – Movement of Controlled Waste Between States and Territories Download (Adobe PDF file, 54KB)
Application for Permit to Transport Prescribed Waste

Instructions (Adobe PDF file, 157KB) for completion of the application

Download (Adobe PDF file, 53KB)
Application for Amendment of Permit to Transport Prescribed Waste Download (Adobe PDF file, 74KB)
Application for Transfer of Permit to Transport Prescribed Waste

Instructions (Adobe PDF file, 123KB) for completion of the application

Download (Adobe PDF file, 49KB)
Application for Exemption from Transport Certificates

Instructions (Adobe PDF file, 111KB) for completion of the application

Download (Adobe PDF file, 86KB)
Tanker Check List Download (Adobe PDF file, 20KB)
Tanker Trailer Check List Download (Adobe PDF file, 15KB)
Trailer Check List Download (Adobe PDF file, 36KB)
Truck Check List Download (Adobe PDF file, 16KB)
WasteCert Electronic Waste Transport Certificates Order Form Download (Adobe PDF file, 257KB)
WasteCert Client Registration Form Download (Microsoft Word file, 90KB)
WasteCert Additional Site Registration Form Download (Microsoft Word file, 76KB)

Landfill levy forms

For more information, access the landfill section of this website.

Landfill Levy Annual Statement (where waste was weighed) Landfill levy statements can now be lodged on-line
Landfill Levy Annual Statement (where waste was unable to be weighed) Landfill levy statements can now be lodged on-line
Landfill Levy 2006–2007 Quarterly Statement (where waste was weighed) Download (Adobe PDF file, 131KB)
Landfill Levy 2006–2007 Quarterly Statement (where waste was unable to be weighed) Download (Adobe PDF file, 245KB)
Details (Adobe PDF file, 370KB) of the landfill levy and rebate systems

Works approval or licence forms and additional information

Note: * denotes a document containing further information that is required in addition to the works approval or licence application form.

For more information, access the licences and approvals section of this website.

Works Approval or Licence Application Form

Instructions (Adobe PDF file, 78KB) for completion of the application. Please see the following entries (below) for further information about successfully completing this form

Download (Adobe PDF file, 33KB)
* Required additional information for applications relating to Air Discharges Download (Adobe PDF file, 254KB)
* Required additional information for applications relating to Energy use and Greenhouse gas emissions Download (Adobe PDF file, 86KB)
* Required additional information for applications relating to Noise Discharges Download (Adobe PDF file, 20KB)
* Required additional information for applications relating to storing, treating or disposing of Biomedical Wastes Download (Adobe PDF file, 27KB)
* Required additional information for applications relating to treatment and/or storage of Prescribed Industrial Waste Download (Adobe PDF file, 25KB)
* Required additional information for applications relating to Water/Land Discharges Download (Adobe PDF file, 24KB)
* Landfill Technical Information Sheet Download (Adobe PDF file, 41KB)
Application for Transfer of a Works Approval or Licence Download (Adobe PDF file, 71KB)
Application for Prescribed Industrial Waste Exemption from Works Approval or Licence

Instructions (Adobe PDF file, 111KB) for completion of the application

Download (Adobe PDF file, 86KB)
Environmental Auditor Assessment of a Works Approval Application Download (Adobe PDF file, 32KB)
Schedule 4 Fee Calculation form Download (Adobe PDF file, 76KB)

Reporting pollution (smoky vehicles and litter)

For more information, access the Reporting pollution section.

Smoky Vehicles Report Download
Litter Report Download

Ballast water forms

For more information, access the ballast water section of this website.

Ballast Water Report Form - Adobe PDF file Download (37KB)
Ballast Water Report Form - Microsoft Word file Download (148KB)
Ballast Water Log - Adobe PDF file Download (77KB)
Ballast Water Log - Microsoft Word file Download (77KB)

Other forms

Accredited Licensee Application Form

Guidelines (Adobe PDF file, 35KB) for Environmental Management System Certification

Get information about accredited licences
Download (Adobe PDF file, 72KB)
Application for Approval of On Site Wastewater Treatment System [A Septic Tank System]

Guidance (Adobe PDF file, 119KB) for applicants

Get information about onsite wastewater treatment systems
Download (Adobe PDF file, 137KB)
Application to Retain Possession or Control of a Halon Fire Suppression System or Portable Halon Fire Extinguisher Download (Adobe PDF file, 7KB)
Research, Development and Demonstration Approval Application Form

Guidelines (Adobe PDF file, 137KB) for applicants

Get information about Research, Development and Demonstration (RD&D) Approvals
Download (Adobe PDF file, 65KB)

Annual report

The 2004–05 Annual Report is a celebration of EPA's achievements over the last financial year. More »