Burn Permit Application Form » Shire of Bridgetown-Greenbushes

Are you the owner of the property that you are intending to burn on? If no, you must get the property owner to complete this application.*

YesNo

Name*

Address*

Phone*

Email*

What is the square meterage of the property where the burn is to take place?*

Is the property where the intention to burn on, located within 3km of forest land?*

YesNo

What materials are to be burned and are they dry?*

What is the Estimated volume of materials to be burned? (Cubic meters squared)*

Is there access to running water at the location of the burn?*

YesNo

Have you previously applied for and had your Permit to Burn revoked, or committed an offence under the Bush Fires Act 1954?*

YesNo

If you answered yes, please provide further information on why the permit was revoked or action taken against you under the Bush Fires Act 1954.

Permit to burn start date*

Permit to Burn end date*