Biodiversity Values Map Explanation Report application form for councils

Use this form to apply for a Biodiversity Values Map Explanation Report for land within your Local Government Area.

Reason for application

To assist the Department’s reporting and development of potential future Biodiversity Values Mapping products, please provide the reason for this application.

Council contact details

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

Authorisation and 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