. "*" indicates required fields Applicant detailsCollection Notice The information we are collecting is necessary to deal with or respond to your enquiry or service request. Your personal information has been collected in accordance with the Information Privacy Act 2009 (QLD) and will not be disclosed outside of Australia. We may not be able to deal with or respond to your request if you choose not to provide your name and contact details. Our Queensland Privacy Policy (QPP) Privacy Policy explains how you may request access to and/or correct your personal information. Our policy also explains how you can complain to us if you consider we have breached our obligations to manage your personal information in accordance with the QPP, and how we deal with privacy complaints.Acknowlegement* I have read and accept the collection notice above. Organisation/Business nameABNName* First Last Phone*Email* Responsible person and 24 hour contact number*Applicant address* Post office box or street address Address Line 2 Town/City State Post code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Activity detailsType of activity/s Temporary — hoarding/fencing/scaffolding on TRC land and/or infrastructure Temporary — storing materials on TRC land and/or infrastructure Temporary — placing shipping container/s on TRC land and/or infrastructure Temporary — placing skip bin/s on TRC land and/or infrastructure Temporary — storing construction materials on TRC land and/or infrastructure Temporary — other structures, goods or materials on TRC land and/or infrastructure Provide details*Describe your activity.*Include nature of activity, reasons for requiring TRC land, equipment and/or structures and details about what is being storedActivity date/s*Include start and finish dates, and specific days and times activities will be conducted at the site.Location/s of activity*E.g. street address, park location, road/s, other council areas, etc.Demonstrate how you will ensure that the area safe, tidy and secure at all times.*E.g. securing the area and materials, managing rubbish and waste, WHS requirements, etc.Describe how your activity will not affect others.*E.g. time of sound, type of equipment, pedestrian access, impacts on surrounding community, etc.Upload activity set up / site map*Show location of equipment/structures, proximity to other structures, vehicles, machines, pedestrians access etc. Drop files here or Select files Max. file size: 150 MB. Will your activity impact road use?* Yes No Describe how you will manage impacts on road and foot traffic.*E.g. parking, safety, access, etc. Some activities may require a traffic management plan for vehicles and or pedestrians from a suitable qualified personUpload Traffic Management PlanMax. file size: 150 MB. Provide other relevant details and information.Upload your certificate of currency for public liability insurance.*The certificate must list TRC as an interested party and have cover for at least $20M. Drop files here or Select files Max. file size: 150 MB. Declaration* The details I have provided are true and correct and I am authorised to complete this application. You must accept the conditions of the collection notice (top of form) and the above statement/s before you can submit this form.
