An applicant for participation in the scheme is required to submit an application accompanied by an Action Plan. The Action Plan outlines the timeline and the steps that the applicant proposes to undertake to meet the commitments of the Category/ies nominated by the applicant. This includes how the applicant will promote participation in the scheme to businesses and other organisations they collect tyres from. The application form, including the template for an Action Plan, is at Appendix 12 and the template for the certificate that sets out the Participant Commitments is at Appendix 13. The application process is described in Section 5.1 of Part A. Appendix 12 APPLICATION FORM FOR RECYCLERS Part 1 Business details – Business name: Franchise name (if applicable): Business ABN/ACN: Street: Business street address: Town/City: Postcode: Business postal address: PO Box: Town/City: Postcode: Website address: Name and title of most senior Name: person in the business or Title: organisation (in Australia): Business contact person: Name: Phone: Does the application relate to the entire business Scope of application or organisation? Yes/No If please describe the elements of the ‘No’, business or organisation that are relevant to the application, e.g. the range of functions or the specific operational sites. For each site specified, please provide copies of Information on recycling activities evidence, e.g. invoices or consignment notes, that you currently recycle all end-of-life tyres received with a recycling gate fee.
An applicant for participation in the scheme is required to submit an application accompanied by an Action Plan. The Action Plan outlines the timeline and the steps that the applicant proposes to undertake to meet the commitments of the Category/ies nominated by the applicant. This includes how the applicant will promote participation in the scheme to businesses and other organisations they collect tyres from. The application form, including the template for an Action Plan, is at Appendix 12 and the template for the certificate that sets out the Participant Commitments is at Appendix 13. The application process is described in Section 5.1 of Part A. Appendix 12 APPLICATION FORM FOR RECYCLERS Part 1 – Business details Business name: Franchise name (if applicable): Business ABN/ACN: Business street address: Street: Town/City: Postcode: Business postal address: PO Box: Town/City: Postcode: Website address: Name and title of most senior person in the business or organisation (in Australia): Name: Title: Business contact person: Name: Phone: Scope of application Does the application relate to the entire business or organisation? Yes/No If ‘No’, please describe the elements of the business or organisation that are relevant to the application, e.g. the range of functions or the specific operational sites. Information on recycling activities For each site specified, please provide copies of evidence, e.g. invoices or consignment notes, that you currently recycle all end-of-life tyres received with a recycling gate fee.
tyre-product-stewardship-guidelines.docx