Vegetation compliance Form

ELECTRICITY EMERGENCY 13 10 93 GAS EMERGENCY 13 19 09

Vegetation compliance form

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Personal details

Title

Given name *

Surname *

Contact details

Street address *

Suburb *

State *

Postcode *

Email address *

Vegetation details

Vegetation inspection number *

Date vegetation cleared *

Tree surgeon name *

Description of works carried out *

Upload file (2 MB file upload size limit)

Attachment can be an Office document, PDF or image.

I certify that vegetation described in the network protection notice has been cleared to the minimum distance away from poles and powerlines on this property in accordance with Regulation 25 of the Utility Networks (Public Safety) Regulation 2001 (ACT).

I confirm that the information provided in this form is true, complete and accurate.

*Denotes mandatory field