When to use this form Complete this form if you are applying for the full or partial cancellation of an authority in New South Wales. This form has been prepared in accordance with the requirements of of the Mining Act 1992. This form and its associated templates are approved in accordance with the requirements of of the Mining Act 1992 and of the Mining Regulation 2016. The information requested in this form may not be specifically referenced in the Mining Act 1992 or the Mining Regulation 2016 however its inclusion in the approved form validates the authority of the NSW Department of Planning and Environment (the department) to request it. Important notes If this application is lodged by any party other than the applicant/s (i.e. an agent), the department may seek confirmation of that authority and any limits of that authority given to that other party by the applicant of the Mining Act 1992 and of the Mining Regulation 2016). The agent will need to complete the declaration at the end of this form and supply evidence of their appointment, if not already supplied to the department. This form can be used to cancel multiple authorities in full. However if part cancelling complete one form for each authority. How to submit this form By email: Send an electronic copy of the form including any attachments and proof of payment to By mail: Mail your form, attachments and proof of payment to Division of Resources and Energy, Titles Services, PO Box 344, Hunter Region Mail Centre NSW 2310. In person: Submit your application in person at the Division of Resources and Titles Services office, Energy’s 516 High Street, Maitland, New South Wales. Office hours are 9.30am to 4.30pm. How this application will be processed Once your application has been received, it will be processed by the department. The Minister for Resources and Energy (or their delegate) will advise you of the outcome in writing. Authority information Type Number Act Authority holder/s details Provide the full name of authority holder(s) and if applicable, the ACN or ARBN (for foreign companies). Name ACN / ARBN Registered street address Postal address
When to use this form Complete this form if you are applying for the full or partial cancellation of an authority in New South Wales. This form has been prepared in accordance with the requirements of of the Mining Act 1992. This form and its associated templates are approved in accordance with the requirements of of the Mining Act 1992 and of the Mining Regulation 2016. The information requested in this form may not be specifically referenced in the Mining Act 1992 or the Mining Regulation 2016 however its inclusion in the approved form validates the authority of the NSW Department of Planning and Environment (the department) to request it. Important notes If this application is lodged by any party other than the applicant/s (i.e. an agent), the department may seek confirmation of that authority and any limits of that authority given to that other party by the applicant of the Mining Act 1992 and of the Mining Regulation 2016). The agent will need to complete the declaration at the end of this form and supply evidence of their appointment, if not already supplied to the department. This form can be used to cancel multiple authorities in full. However if part cancelling complete one form for each authority. How to submit this form By email: Send an electronic copy of the form including any attachments and proof of payment to By mail: Mail your form, attachments and proof of payment to Division of Resources and Energy, Titles Services, PO Box 344, Hunter Region Mail Centre NSW 2310. In person: Submit your application in person at the Division of Resources and Energy’s Titles Services office, 516 High Street, Maitland, New South Wales. Office hours are 9.30am to 4.30pm. How this application will be processed Once your application has been received, it will be processed by the department. The Minister for Resources and Energy (or their delegate) will advise you of the outcome in writing. Authority information Type Number Act Authority holder/s details Provide the full name of authority holder(s) and if applicable, the ACN or ARBN (for foreign companies). Name ACN / ARBN Registered street address Postal address