It may be provided to NSW Department of Primary Industries, Meat and Livestock Australia, the NSW Wine Industry Associat
Application for a Property Identification Code This form may be used to apply to Local Land Services for a Property Identification Code (PIC). Please contact your Local Land Services office or call 1300 795 299 to confirm the fee payable in your circumstances. Normally each property has its own PIC. However, one PIC can be used for more than one property provided the properties are used for a common purpose (eg to graze the same livestock) and are proximate (adjoining or nearby). If you wish to apply for a PIC to cover more than one property, please complete a separate form with the property and owner details for each property and submit all forms together. For more information on Property Identification Codes go to the Local Land Services website at www.lls.nsw.gov.au/livestock APPLICANT DETAILS Full name
Title (eg Mr, Mrs, Ms, Dr)
Postal address
Postcode
Phone numbers Home:
Business:
Mobile:
Email address
PROPERTY DETAILS Address (actual location of the property – write ‘as above’ if same as postal address)
Postcode
Title
Property area
hectares Lot/DP for this property Lot:
(from your Council rates notice)
DP:
PROPERTY OWNER DETAILS (if different to the applicant, otherwise write ‘as Full name
above’)
(eg Mr, Mrs, Ms, Dr)
Postal address
Home:
Phone numbers
Postcode Business:
Mobile:
I declare that I am the (tick one): Owner of the property
Lawful occupier of the property
Authorised representative of the owner
Date:
SIGNATURE:
/
/
Please return this completed form to your Local Land Services office. Privacy notice: This information is being collected for the purposes of assigning a property identification code in accordance with the Stock Diseases Act 1923. It may be provided to NSW Department of Primary Industries, Meat and Livestock Australia, the NSW Wine Industry Association and other persons for purposes consistent with that Act, the Plant Diseases Act 1924 or the Rural Lands Protection Act 1998. It will be stored securely by Local Land Services and any person who is authorised to obtain the information. You may access or correct this information by contacting Local Land Services. For more information go to www.lls.nsw.gov.au
OFFICE USE ONLY PIC:
N
Receipt number: Application for Property Identification Code