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Application to Undertake Emergency Preparation Works

This form allows Melbourne residents who own property within the City of Ballarat to request approval to visit that property to undertake summer preparedness works.

Your details

Property Owner Details

Residential address

Additional persons details

Any other people travelling with you?
Details of other people travelling with you

Person

Property Details

Address where the work is taking place

Intended travel dates

Intended works to be undertaken at the property


Declaration

I am traveling for the sole purpose of undertaking summer preparedness works to my property
I agree I will strictly adhere to the following conditions:
  • Travel directly to my additional property from my primary residence
  • Travel only with members from my primary residence household
  • Travel to and from my additional property only within the dates specified above
  • Stay overnight within the bounds of my additional property
  • Abide by the directions set by the Chief Health Officer
  • Travel directly to and from my primary residence to the additional property

Collection Statement

Your personal information is being collected by the City of Ballarat for the purpose of processing your application for a Emergency Preparation Works Permit. Your information will be stored in Council’s Customer Database and used to identify you when communicating with Council and for the delivery of services and information. For further information on how your personal information is handled, refer to Council’s Privacy Policy at www.ballarat.vic.gov.au/privacy