Wet Tropics Management Authority Yellow Crazy Ant Property Information Form Please Note that access to your property for treatment or surveillance will not include access to your residence without prior consultation. Name of occupant/s (First and Last Names) Address of property House number: Street Name: Lot number (if applicable): Suburb: Postcode: RP number: Contact details of occupant/s Please list more than one contact number if possible. Home: Work: Email: Mobile: Consent to be contacted by email about program activities Do you Rent or Own this property? Occupancy Expiry Date: Name and address of property owner, or Agent if occupier not the owner of the property Contact phone number: Please indicate if you give permission for helicopter treatment up to 10 metres from your property. Note: Helicopter will not fly over any buildings It is essential that we are able to visit your property on a regular basis (likely three times per year over the next three years), and we ask for your cooperation. Please let us know below if you need to be at home during surveillance and treatment. Officers will be clearly identifiable and will not need to enter any house or building. I understand that Wet Tropics Management Authority representatives may need to enter this property when I am not home to inspect/treat my property for yellow crazy ants. However there are problems with access due to the following reasons: Please tick if you have: Dog Dangerous Dog Horses Livestock Poultry/Caged birds Industry Cropping Fish pond/s Locked gates Chemical sensitivity Watercourse/dam Mine Forest/dense undergrowth Dengue Mosquitoes Please return this form by email [email protected] or post to PO Box 2050, Cairns Q 4870. If you have any questions or would like more information please call Wet Tropics Management Authority on 42410500 or visit www.wettropics.gov.au Name: Signature: Date: Privacy Statement: The Wet Tropics Management Authority is collecting the information on this form to assist the Yellow Crazy Ant Eradication Program in surveillance and/or treatment of yellow crazy ants. This information will only be accessed by authorised employees within the Authority. Your information will not be disclosed to any other parties unless authorised or required by law.
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