EOD5—Environmental Offsets Delivery Form 5: Habitat Quality Details (This form is an approved form under Section 92 of the Environmental Offsets Act 2014) Note: For more information about how to undertake a habitat quality analysis please refer to the Guide to determining terrestrial habitat quality, which is available on the Queensland government website and can be accessed here. For all environmental offset applications you must: Complete form (Environmental Offsets Delivery Form 1–Notice of Election and Advanced Offset Details) Complete any other forms relevant to your application Provide the supporting information identified on the forms as being required to accompany your application. This form is necessary for species and ecosystem land-based offsets. Please note that for a staged offset, this will form will be required for each stage that is being delivered as a land-based offset. Part A—Offset details Is this an application for: A land-based offset An advanced offset ☐ Yes Continue to Part B ☐ Yes Continue to Part C Part B—Land-based offset details Please attach the data from your habitat quality analysis. (Refer to template for habitat quality scoring, available on the website). 1. Impact site analysis a. Data sheet/s of information from site visit b. Habitat quality scoring template ☐ ☐ 2. Offset site analysis a. Data sheet/s of information from site visit b. Habitat quality scoring template ☐ ☐ Part C—Advanced offset details Please attach the data from your habitat quality analysis. (Refer to template for habitat quality scoring, available on the website). 1. Data sheet/s of information from site visit 2. Habitat quality scoring template ☐ ☐