Explanation Report application for landholders

Use this form to apply for a Biodiversity Values Map Explanation Report.

Landholder contact and ownership details

If you have previously provided this information to the Map Review Team you do not need to provide it again.

Agent’s authority to act

An LLS Officer may act as your agent

Landholding information

List all lot and deposited plan (DP) numbers applicable to the land to be included in the Explanation Report. Upload a separate list if required or provide a map clearly identifying the lot/DP numbers of land to be included. The BV Map viewer can be used to identify the land to be included.

Lot and DP numbers

Landholder’s signature

Under Part 13 Section 13.10 (1) of the Biodiversity Conservation Act 2016, a person must not provide information in connection with a matter under this Act (or under the native vegetation legislation) that the person knows, or ought reasonably to know, is false or misleading in a material particular.

Typing your name here constitutes a signature for the purpose of this form