Fire Permit Request

The following supporting information, along with a map of the proposed area to be burnt, is required before a Fire Permit can be issued. Fire permit requests must be submitted 48 hours prior to the requested date.

Applicant Details

Full Name*

Company name (If applicable)

Land Title Holder

Postal Address:*

City:*

State:*

Post Code:*

Country:*

Residential Address:*

City:*

State:*

Post Code:*

Country:*

Contact Number - HOME

Contact Number - MOBILE*

Contact Number - WORK

Email*

Preliminary Information

Maximum period - 28 days

Start Burn Date*

End Burn Date

Durations (hrs/days)*

Area (ha)*

Address/Property Name of Burning Activities*

List Fire Suppression Equipment*

What are you burning?*

Have you notified neighbouring properties?*

Map

PLEASE ATTACH A DETAILED MAP OF YOUR PROPOSED BURN BELOW.
A detailed map should include the following:
- Aerial image with boundaries/breaks clearly outlined
- GPS co-ordinates specified
- Adjacent roads highlighted

(please note that permits will be refused if detailed maps are not supplied)

Max File Size: 10.00 MB
Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx

Conditions

Please note that this consent is granted with the following conditions:

1) Permit valid for the purposes, dates and areas in this application only
2) No responsibility will be accepted by the Shire for any damage caused
3) Consent maybe withdrawn by the Shire at any time
4) The permit holder indemnifies the Shire against any claim for personal injury, damage or any other loss arising howsoever from said fire use

Please type your name below to signify that you agree that all information given above is true and correct at the time of submission*

Date*

Type the code from the image:

The code you entered is not valid.

Get Audio Code

Type the code from the image