Request for deputation/submission form

Request for deputation/submission form

Please complete the form below to submit a deputation/submission request.
Note

Please submit this form no later than 9:30am two (2) business days prior to the commencement of the meeting. Please be aware late requests may not be accepted. Verbal presentations are not to exceed 3 minutes.
Committee*

Statutory Planning CommitteeWestern Australian Planning CommissionSwan Valley Statutory Planning Committee
Meeting date*

DayMonthYear
Please click on the calendar icon to select a date
Agenda item No.
Agenda title*
Request*

Written submissionVerbal deputation
Name of presenter*
Organisation*
Email*
example@example.com
Mobile number*
Please provide contact details of a presentation leader. A mobile number is required in the event that we need to make contact with you on the morning of the deputation.
Name and organisation of any additional attendees
(if applicable)
Brief outline of discussion*
Please provide an outline of the main points to be made in your deputation
PowerPoint presentation*

YesNo
Upload submission/additional documentation

Please upload your submission or any additional documentation
Cancelof
Special requirements*

YesNo
In the interest of accessibility and inclusion for people with disabilities, please identify if you have any special requirements.
If yes, please detail your special requirements
Please verify that you are not a robot*
Should be Empty:

Note