City of Joondalup Forms – A Global City: Bold | Creative

Declaration

Before you proceed please ensure that you are the authorising person and you have the relevant property details.

Authorised Person*

I declare I am the authorised representative for the property listed below and I authorise the City of Joondalup to exclude the property listed here from pesticide applications within the adjoining verge.

Yes

Property details

Property address*

Start typing your street address and select the relevant property from the filtered list

Person or Business*

Person
Business

Business name*

ABN / ACN

Authorised Representative Name*

Full name	Position

Name*

Given name(s) Surname

Daytime contact phone number*

Email*

Phone

This field is for validation purposes and should be left unchanged.

Pesticide Exclusion Register

Declaration

Property details