Forms

The forms below are to be used for referral of schemes and scheme amendments and referral of development proposals as indicated.
 
For post assessment forms, including changes to nominated proponents, see here.

FORM: Referral of a Scheme to the EPA by the Responsible Authority
Summary:

This form is to be used for referral of Planning Schemes and Amendments to the EPA under the Planning and Development Act 2005, the Metropolitan Redevelopment Act 2011 and the Hope Valley Wattleup Redevelopment Act 2000.

All planning schemes and amendments must be referred to the EPA by the responsible authority.


Status: Final
Release Date: 27 March 2015
Appeals close
Click here to view the document (file type: Acrobat PDF file size: 262.4 KB)

Referral of a Proposal to the Environmental Protection Authority under Section 38 of the Environmental Protection Act 1986
Summary:

This form is to be used for all proposals which can be referred to the EPA under section 38 of the EP Act; i.e. referrals from:

  • proponents of proposals (significant proposals, strategic proposals, derived proposals, proposals under an assessed scheme);
  • DMAs (significant proposals); and
  • third parties (significant proposals).

Please refer to the EPA's Environmental Assessment Guideline for Referral of a proposal under s38 of the Environmental Protection Act 1986 (EAG 16) for information to help you complete the form.

PLEASE SAVE THE REFERRAL FORM BELOW TO YOUR COMPUTER BEFORE VIEWING OR EDITING.


Status: Final
Release Date: 30 January 2015
Appeals close
Click here to view the document (file type: Microsoft Word file size: 350.5 KB)

FORM: Application for assessment of a proposal under the assessment bilateral agreement
Summary: Under the assessment bilateral agreement between the Commonwealth of Australia and the State of Western Australia, proponents are required to apply to the Environmental Protection Authority (EPA) for a proposal to be assessed under the agreement. If an application has not been made through the referral form, submission of this completed form fulfils the requirement of the agreement.
Status: Final
Release Date: 26 November 2014
Appeals close
Click here to view the document (file type: Microsoft Word file size: 75.33 KB)

FORM: Request to host ‘Invitation for public comment’ for the purpose of the assessment bilateral agreement
Summary:

Under the assessment bilateral agreement between the Commonwealth of Australia and the State of Western Australia, proponents are required to release draft Environmental Review documentation for public comment where the proposal will be assessed at the level of Assessment on Proponent Information - Category A.

Public comment is to be sought on the likely significant impacts of proposals on matters of national environmental significance.

The EPA is facilitating this public participation by hosting proponent invitations for public comment on its consultation hub. The consultation hub will link to the proponent’s website where the draft Environmental Review documentation is located. The EPA will also receive and transmit submissions to proponents.

The purpose of this form is to ensure that both the proponent’s invitation for public comment and the draft Environmental Review documentation meet the requirements of the bilateral agreement. It also provides a mechanism for the proponent to request the EPA to prepare an invitation for the consultation hub.


Status: Final
Release Date: 26 November 2014
Appeals close
Click here to view the document (file type: Microsoft Word file size: 79.89 KB)