Landclearing Reported to OEH
First Name
Your answer
Last Name
Your answer
Phone Number
Your answer
LLS Region (if known)
Your answer
Clearing Location (Address or Lot & DP)
Your answer
Owner of property where clearing has taken place (if known)
Your answer
Date of report to OEH
MM
/
DD
/
YYYY
Time of report to OEH
Time
:
OEH Report Reference Number
Your answer
Provide details of any relevant approvals (if known)
Your answer
Describe what you observed including as much detail as possible
Your answer
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