Form Contaminated land Application to search the environmental management and contaminated land registers This is the approved form for making an application to the administering authority to search the Environmental Management Register and Contaminated Land Register under section 542(3) of the Environmental Protection Act 1994 (EP Act). 1. Fees and methods of searching the register There is a fee1 for searching the Environmental Management Register (EMR) and Contaminated Land Register (CLR). You can search the registers online at https://products.ehp.qld.gov.au/shopping/home, pay by credit card and a response will be emailed in one (1) day. Online searches do not require this application form to be completed. Alternatively you can complete and lodge this application form by mail, or in person. Search results are returned in five (5) business days if lodged personally and ten (10) business days if lodged by mail. More information about searching the registers, and what the results mean, is available on the Queensland Government website www.qld.gov.au/environment. 2. Details of company or individual requesting search Company or individual’s name Your reference (company use only) Contact name Contact phone number Postal address 3. Details of search request Please complete the following table with the correct details about the parcel of land to be searched. The Lot and Plan reference is used for recording land on the registers and providing this information aids in the search process. The Lot and Plan can be found on the Land Title Certificate or rates notice. If you require additional space you can attach the information on a separate sheet. 1 These are the fees prescribed under Schedule 10, Part 3 of the Environmental Protection Regulation 2008. Page 1 of 3 • EM120 • 150108 • Version 3 ABN 46 640 294 485 Form Application to search the environmental management/contaminated land register Additional information attached 1 Street address Lot 2 Plan Street address Lot 3 Plan Street address Lot 4 Plan Street address Lot 4. Plan Please indicate your preferred search return details Email Email the search result to: Email address Collection Collect results from the EHP Customer Service Centre, Level 3, 400 George Street, Brisbane. Post Post results to the postal address on the previous page. Fax Fax the search result to: Fax number Page 2 of 3 • 150108 • EM120 • Version 3 Department of Environment and Heritage Protection Form Application to search the environmental management/contaminated land register 5. How to submit the form Mail In person Mail the search application form to: Lodge an application form in person at: Contaminated Land Search Department of Environment and Heritage Protection Level 3, 400 George Street BRISBANE QLD 4001. GPO Box 2454 400 George Street BRISBANE QLD 4001 Payment using this search method can be made by cheque. Cheque: include a cheque for the correct amount, payable to ‘Department of Environment and Heritage Protection’. Payment using this search method may be made by cheque, credit card or cash. Cheques to be made payable to EHP. Search results can be mailed/emailed to you or available for pick up within five (5) business days. Further information The Registrar EMR/CLR Registry Department of Environment and Heritage Protection 400 George Street GPO Box 2454 BRISBANE QLD 4001 Phone 13 QGOV (13 74 68) Email: emr.clr.registry@ehp.qld.gov.au Website: www.qld.gov.au/environment Page 3 of 3 • 150108 • EM120 • Version 3 Department of Environment and Heritage Protection