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 name

Your organisation

Your email address

Your address:

number & street

city or suburb

state ACTNSWNTQldSATasVicWAother     postcode

 

Tel: business hrs

Fax:

Details of your nomination

The place I am interested in nominating is:

natural place

Indigenous place

historic place

Name and approximate location of the place that you are considering nominating:

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.


 

Your details

Your address:

Details of your nomination

Name and approximate location of the place that you are considering nominating