"*" indicates required fields Collection 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.Acknowledgement* I have read and accept the collection notice above. Property owner detailsApplicant's name* First Last Email* Phone*Property address* Street Address Address Line 2 Town Property number*From the rate notice.Lot on planE.g. Lot 4 on RP732163What is the intented purpose of the information.*Are you an adjacent property owner?* Yes No Provide consent from the agent confirming their authorisation and engagement. The consent must be approved by the property owner.* Drop files here or Select files Max. file size: 150 MB. You must accept the conditions of the collection notice (top of form) and the above statement/s before you can submit this form.
