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Request for nomination kit

If you are interested in receiving a nomination form for the National or Commonwealth Heritage Lists, please complete the form below and submit.

Note: If you are planning to submit any material for which there should be restricted access, please contact 02 6274 2149 to discuss the handling of that material.

Your details

Your address:

number & street

city or suburb

state      postcode

 

Tel: business hrs

Fax:

Details of your nomination

The place I am interested in nominating is:

a natural, indigenous or historic place of outstanding heritage value to the nation (National Heritage List)

a natural, indigenous or historic heritage place on Commonwealth land or waters, or under Australian Government control (Commonwealth Heritage List)

Place name:

Location:

Summary of significance

Please indicate the format in which you would like to receive a copy of the form:

Paper copy of the form

Word 6.0 document

Before you send

Important note: sending this request does not constitute an official nomination for the National Heritage List.