Forms Database

  Title Description
Aboriginal Scholarship Guidelines & Application form The City of Albany is proud to announce the availability of four (4) annual Aboriginal Education Scholarships commencing in January each year, with the aim of encouraging young Aboriginal people to continue with their education and training.
Adjoining Owners Comment Form Where a development does not meet the Acceptable Development standards prescribed under the Residential Design Codes the applicant must demonstrate to Council that the performance criteria can be met. In considering whether to support a variation to the Codes Council wishes to seek the views of adjacent neighbours, which may be affected by the development. Please take the time to view the applicants plans in detail prior to either objecting or supporting the variation, and should you wish to provide additional comments please attach them to this form. Should you wish to discuss the variation with Council prior to signing the form please contact Councils Planning Department on 9841 9383.
ALAC - Booking Cancellation Form Booking Cancellation Form
ALAC - Booking Form
Amazing Race Entry Form Entry form and details of the Amazing Race
Amazing Race Mentor Form Mentor Registration form for the Amazing Race
Application for Approval of Certain Food Handling Activities in Residential Premises Application for approval of certain food handling activities in residential premises.
Application for Grant of Planning Scheme Consent with R Code Relaxation This form is to be used for all 'Applications for Grant of Planning Scheme Consent' that require Residential Design Code (R-CODE) relaxations.
Application for Planning Scheme Consent Form
Application for Portable Sign on Pubilc Thoroughfare Permit (A Frame) Application must be compliant with Activities on Thoroughfares and Public Places and Trading Local Law 2011.
Application for Verge Sign (For Non Profit Organisations ONLY) Application for verge sign (For not for profit organisations only).
Application form to construct, extend or alter a public building Application to construct, extend or alter a public building.
Application to Clear Fence Line Upon completion of this application it should be forwarded to the Reserves Officer, City of Albany, PO Box 484, Albany, WA 6331.
Application to Construct or Install an Apparatus for the Treatment of Sewage. Application to construct or install an apparatus for the treatment of sewage.HEALTH ACT 1911 - Health (Treatment of Sewage and Disposal of Effluent and Liquid Waste) Regulations 1974 (Regs 4 & 4A)
Business & Electronic Fund Details
Cat Registration Cancellation Form Please email / fax or return form to: City of Albany 102 North Road, Yakamia WA 6330, Fax Number: 9841 4099 Email: staff@albany.wa.gov.au
Change of Address Form Form to be used when updating address.
Change of Name Form Form to be used when changing name details.
Change of Property Ownership Form to be used for change of property ownership.
City of Albany Logos Contains the City of Albany logo in several forms, along with a user guide.
Comment Form Customer Service Comment Form
Communication Modes Take this quick quiz to determine your communicate modes and how you can better communicate with others.
Community Funding 2012-13 ACQUITTAL FORM Successful applicants will be required to submit an acquittal using this form.
Community Projects Support Letter Application Form Applications for letters of support will require 10 working days for the City to process.
Complaint as to Nuisance Created by a Dog - Form 6 This form is used to request the Local government to institute proceedings if the nuisance does not stop and undertake: (a) to give full information to the Local government as to this matter; and (b) to appear in court and give evidence as a witness to the truth of this complaint
Concert and Large Events Application Form The Concert and Large Events Application Form must be completed at least 60 days prior to event.
Contractor Induction Checklist OSH_MANUAL
Contractor Management Checklists and Agreement Forms OSH_MANUAL
Councillor Quarterly Childcare Expense Claim Form Childcare expense claim form for Elected Members.
Councillor Quarterly Mileage Claim Form Mileage claim form for Elected Members.
Councillor Travel Expenses Claim Form Travel expenses claim form for Elected Members.
Crossover Application Form Crossover Application Form
Customer Service Request Manual Customer Service Request.
Demolition licence application form Demolition licence application form.
Dig Through Verge Application Form Application For Permit to Trench Through/Under Kerb or Footpath.
Disclosure of Interest Elected Members, Committee Members, Staff and Contractors IMPORTANT: It is an elected member/officers responsibility to declare if he/she has an interest in a matter under consideration of Council. For further information on Specific Disclosure of Interest requirements please refer to the Financial Interest Handbook. Please print this form on YELLOW Paper.
Dog Registration Application Form RANGER. Dog Registration Form as updated on: 19/07/2012.
Dog Registration Cancellation Form RANGER. Please email / fax or return form to: City of Albany, 102 North Road, Yakamia WA 6330, Fax Number: 9841 4099, Email: staff@albany.wa.gov.au
Drainage Connection Application Form Application for connection to the City of Albany Drainage System. Application form.
Emu Point Boat Pen Waiting List Application Form Complete this form to add your name to the waiting list for a site at the Emu Point Marina. The form applies to all pen sizes but some sizes are in high demand and the waiting list for these larger pens can be long.
Emu Point Boat Pens Application Form To be completed by the owner of the vessel for boat pen accommodation in the Emu Point marina.
Emu Point Boat Pens Change of Address Form Use this form to notify the City of Albany of your change of address.
Emu Point Boat Pens Vacating Pen Form Complete this form when vacating your pen at the marina, and deliver the form to the City of Albany along with your swipe key.
Emu Point Direct Debit Form and Agreement
Emu Point Payments Option Form
Enrolment Eligibility Claim Form Fill in this form if you own or occupy rateable property in a district or ward, but are not represented on the residents roll (Western Australian Electoral Commission Roll) for that district or ward and want to be able to vote at local government elections for that district.
Environmental Health Section Complaint Form Environmental Health Section Complaint Form
Fire Access Track Exemption Form RANGER. Fire Access Track Exemption Form (Fire Break Exemption Form).
Form 2 Primary Return & Guideline Elected members and staff are required to disclose their financial interest. Your attention is drawn to Part 5 – Administration - Division 6 – Disclosure of Financial Interests - of the Local Government Act.
Form 2A - Application to register a nominee for a body corporate Fill in this form if the body corporate: owns or occupies rateable property in a district or ward, but are not represented on the residents roll (Western Australian Electoral Commission Roll) for that district or ward and wants to be able to vote at local government elections for that district.
Form 2B Application to register a nominee for co-owners or occupiers. Fill in this form if the persons: own or occupy rateable property in a district or ward, but are not represented on the residents roll (Western Australian Electoral Commission Roll) for that district or ward . Note: If a proposed nominee is on the residents roll (Western Australian Electoral Commission Roll) for the district or ward, they are automatically enrolled to vote.
Form 4 Submission
Freedom of Information Act 1992 application to access documents Application for access to documents. (Freedom of Information Act 1992) Note: The applicant maybe required to pay processing charges. In the event that the charges are more than $30.00, an estimate will be provided. In certain cases a reduction in processing charges may apply - see section on fees and charges on the second page of this form.
Graffiti Removal Kit - Disclaimer The City of Albany accepts no responsibility for any damage caused by using this product to buildings or surfaces.
Heritage Grants Application Form Please read the grant guidelines before completing this application form.
Home Library Service Agency Agreement (Library) Agreement form between Albany public library and home library service and client.
Home Library Service Application Form (Library) Albany Public Library home library service application form
Home library service borrowing rules and conditions (Library) Borrowing rules and conditions for home library service. Members are responsible for any damage or the loss of items on loan to them. Please take good care of all items and ensure that they are returned on time.
Home library service patron profile (Library) Home Library Service patron profile. Forms outlining details on customers preferences.
Home Produced Food (Health) This info pack provides information for those people who wish to produce food from their home for sale to the public.
Incident Accident Investigation Risk Assessment (HR) Occupational health and safety form to investigate incidents and accidents. (Keyword: OSHMANUAL)
Infringement Review Form As at 27/03/2013.
KidSport Application Voucher Complete this voucher and take to the Albany Leisure and Aquatic Centre for validation.
KidSport Application Voucher Voucher for completion by parent/guardian to be taken to Albany Leisure and Aquatic Centre for validation.
Leave Application Form
Membership Application Form
Nomination form - Council committees Fill out this form before 24 January 2012 to nominate for Council committees.
Nomination Form for Election by Candidate (LG08)
Notification of the Acceptance of a Notifiable Gift Keyword: Code of Conduct, Gift Form.
Permission to Keep More Than Two Cats Please note that an inspection will be carried out by the Rangers before approval is granted and also before registration can occur.
Permission to Keep More Than Two Dogs Please be advised: Should objections be received by the Council, your application may not be approved. Once the Council has approved your application to keep more than two dogs, should the Council receive one complaint of any type regarding the dogs, then the approval may be withdrawn.
Planning Services Compliance Check Form This Information Sheet provides guidance on the enforcement of planning requirements.
Post Incident Analysis Form RANGER. Post Incident Analysis Form reformatted 31/10/2012.
Quotation Evaluation Report Sheet Updated 20/02/2013.
Rangers Complaint Form RANGER. For Rangers to investigate your complaint it will be necessary to complete the relevant sections of this form.
Record of Nuisance by Barking Form Please be advised that all information recorded on this document is admissible as evidence and may be used in a court of law.
Registration of a Lodging House Application Form
Request to Make Infringement Time Payments Form The applicant must understand that if they do not comply with this agreement, the City of Albany may reimburse the funds that have been paid and commence legal action against the applicant to retrieve the full infringement amount including costs.
Rigid Annexes and Park Homes
Search Request for Septic System Plans Form to request search for septic system plans.
Septic System as Constructed Diagram Form to show completed layout and dimensions of the apparatus for the treatment of sewage.
Signs on Public land Application Form Please read related information sheet.
Sterilised Cat Declaration Form Please Note: A check of claim of sterilisation will be made.
Sterilised Dog Declaration Form Please Note: A check of claim of sterilisation will be made.
Structured Debrief Plan Template Reformatted on 23/10/2012.
Surrender or Destroy Dog Request Form Request to Surrender or Destroy a Dog Purseuant to Section 29(14) Dog Act 1976.
Verge Development Application Form Verge Development Application Form.
Verve Energy Albany Community Fund Application Form Microsoft Word Version.
Verve Energy Albany Community Fund Application Form PDF Version.
Visitor Induction Checklist (HR) The principal contractor must ensure that this Visitor Induction is carried out before the person enters any operational zone on the project.(Keyword OSHMANUAL)
Volunteer Management - Application Form OSH_MANUAL
Workplace Safety Inspection Form OSH_MANUAL Workplace Inspection Form is for used by Safety reps and managers. On completion please foward to Training and Occupational Health & Safety Coordinator.
WorkSafe Reportable Injuries Form (HR) OSH_MANUAL Form 1-Notification of Injury
* Picture above Lightning Strike - Image supplied by Rolsh Productions