Application for Access to Queensland Rail Land This form may only be used for applications lodged in the 2018-19 financial year Form Instructions This form contains important information on how to for access to land controlled by Queensland Rail, and provides information to assist you in completing your application. Please direct all enquiries and return completed applications and supporting documentation by email or to the Property Team Third Party Access, GPO Box 1429 Brisbane QLD 4001. – Email Phone 07 3072 2133 Fax 07 3072 8566 Applicant Details Organisation Name Contact Name Postal Address Email Address Number Fax Number Project Reference ABN Location Details Queensland Rail Lot / Plan Street and Suburb Proposed commencement date Proposed duration of Licence Distance (m) of location of works from nearest rail Minimum clearance (m) of any person/machinery/equipment to nearest overhead traction wire Detailed of Works MD-14-160 (Version 1.6) QUEENSLAND RAIL OFFICIAL Page 1 of 4 © 2018 Queensland Rail
Application for Access to Queensland Rail Land This form may only be used for applications lodged in the 2018-19 financial year Form Instructions This form contains important information on how to for access to land controlled by Queensland Rail, and provides information to assist you in completing your application. Please direct all enquiries and return completed applications and supporting documentation by email or to the Property Team – Third Party Access, GPO Box 1429 Brisbane QLD 4001. Email Phone 07 3072 2133 Fax 07 3072 8566 Applicant Details Organisation Name Contact Name Postal Address Email Address Number Fax Number Project Reference ABN Location Details Queensland Rail Lot / Plan Street and Suburb Proposed commencement date Proposed duration of Licence Distance (m) of location of works from nearest rail Minimum clearance (m) of any person/machinery/equipment to nearest overhead traction wire Detailed of Works MD-14-160 (Version 1.6) QUEENSLAND RAIL OFFICIAL Page 1 of 4 © 2018 Queensland Rail