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To report illegal camping please complete the online form or call 0428 518 413.

Online Form - Application for Temporary Accommodation 3 Months or Less

Caravan or Camping up to 3 Months.

A confirmation message will appear once the form is submitted please retain this as evidence of submission.

If you have any questions or concerns with the application process please contact Shire of Exmouth Environmental Health Services on 9949 3000.

Owner/Applicant Details

Name*

Residential Address*

Postal Address*

Phone/Mobile*

I/we are the owners of the property or have the permission to utilise property*

YesNo

Evidence of submission*

Max File Size: 10.00 MB
Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx

Location of Temporary Accommodation*

Proposed Term of Temporary Accommodation (dates)*

Access to ablutions & laundry facilities available?*

YesNo

Please provide site map of proposed location

Max File Size: 10.00 MB
Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx

Declaration

Date*

Declaration*

I declare that I am the person named as applicant on the above form and that the information contained in this application is true & correct in every particularI have included all required documentation for this application

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Welcome to the Shire of Exmouth

Online Form - Application for Temporary Accommodation 3 Months or Less

General Office:

Address