We value your feedback.
If you require general information not currently available on this site, or were not able to find what you were looking for, you can contact the webmaster.
Otherwise send us your feedback or lodge an official complaint so that we can ensure this site meets your needs.

Mining Act 1978 (WA) Forms
In general terms, compliance refers to the statutory requirements of tenement holders to meet certain conditions and covenants of the particular mining tenement.
Most of these requirements are connected to the anniversary date of the commencement of the term of the tenement.
These conditions and covenants could include any of the following:
• Payment of rent
• Payments of royalties
• Lodgement of Form 5 operations reports
• Lodgement of Form 27 Quarterly Mineral (Excluding Gold) Production Reports
• Lodgement of Form 27A Quarterly Gold Production Reports
• Complying with conditions of grant
• Lodgement of bonds and securities
• Applications for exemptions.
Failure to meet any of the above conditions and covenants could result in the forfeiture of the mining tenement.
Forms 1-10
Form 1A - Application for Permit Under Section 20A (PDF, 24kb Opens in new window) Form 2 - Application for Permit to Enter upon Private Land (PDF, 48kb Opens in new window) Form 3A - Claim for Compensation and Consent for an Informal Determination by the Warden (PDF, 13kb Opens in new window) Form 5 - Operations Report - Expenditure on Mining Tenement (PDF, 320kb Opens in new window) Form 9 - Application for Extension of Term/ Renewal of a Mining Tenement (PDF, 23kb Opens in new window)
Form 1A - Application for Permit Under Section 20A (Word, 26kb Opens in new window)
Form 2 - Application for Permit to Enter upon Private Land (Word, 24kb Opens in new window)
Form 3A - Claim for Compensation and Consent for an Informal Determination by the Warden (Word, 37kb Opens in new window)
Form 5 - Operations Report - Expenditure on Mining Tenement (Word, 114kb Opens in new window)
Form 9 - Application for Extension of Term/ Renewal of a Mining Tenement (Word, 43kb Opens in new window)
Forms 11-20
Form 12 - Surrender (PDF, 24kb Opens in new window) Form 13 - Notice of Re-Marking (PDF, 50kb Opens in new window) Form 14 - Partial Surrender (PDF, 71kb Opens in new window) Form 16 - Objection (PDF, 66kb Opens in new window) Form 17 - Application for Restoration (PDF, 60kb Opens in new window) Form 18 - Application for Exemption (PDF, 32kb Opens in new window) Form 20 - Notice of Marking Out (PDF, 54kb Opens in new window)
Form 12 - Surrender (Word, 24kb Opens in new window)
Form 13 - Notice of Re-Marking (Word, 21kb Opens in new window)
Form 14 - Partial Surrender (Word, 27kb Opens in new window)
Form 16 - Objection (Word, 30kb Opens in new window)
Form 17 - Application for Restoration (Word, 27kb Opens in new window)
Form 18 - Application for Exemption (Word, 45kb Opens in new window)
Form 20 - Notice of Marking Out (Word, 22kb Opens in new window)
Forms 21-30
Form 21 - Application for Mining Tenement(use this form when applying for Prospecting Licences, Exploration Licences, Mining Leases, General Purpose Leases, Miscellaneous Licences and Retention Licences.(PDF, 51kb Opens in new window) Form 21 - Attachment 1 (PDF, 54kb. opens in new window) Form 21 - Attachment 2 (PDF, 98kb, opens in new window) Form 22 - Withdrawal (PDF, 20kb, opens in new window) Form 23 - Transfer (PDF, 51kb, opens in new window) Form 24 - Caveat (PDF, 29kb, opens in new window) Form 24A - Withdrawal of Caveat (PDF, 23kb, opens in new window) Form 25 - Mortgage (PDF, 35kb, opens in new window) Form 26 - Discharge of Mortgage (PDF, 59kb, opens in new window) Form 26A - Partial Discharge of Mortgage (PDF, 43kb, opens in new window) Form 27 - Quarterly Mineral (Excluding Gold) Production Report (PDF, 67kb, opens in new window) Form 27A - Quarterly Gold Production Report (PDF, 62kb, opens in new window) Form 28 - Devolution (PDF, 25kb, opens in new window) Form 29 - Application for Copy Document (PDF, 22kb, opens in new window) Form 30 - Application to Amend (PDF, 15kb, opens in new window)
Form 21 - Application for Mining Tenement(use this form when applying for Prospecting Licences, Exploration Licences, Mining Leases, General Purpose Leases, Miscellaneous Licences and Retention Licences. (Word, 50kb Opens in new window)
Form 21 - Attachment 1 (Word, 130kb. opens in new window)
Form 21 - Attachment 2 (Word, 113kb, opens in new window)
Form 22 - Withdrawal (Word, 41kb, opens in new window)
Form 23 - Transfer (Word, 44kb, opens in new window)
Form 24 - Caveat (Word, 46kb, opens in new window)
Form 24A - Withdrawal of Caveat (Word, 42kb, opens in new window)
Form 25 - Mortgage (Word, 49kb, opens in new window)
Form 26 - Discharge of Mortgage (Word, 24kb, opens in new window)
Form 26A - Partial Discharge of Mortgage (Word, 31kb, opens in new window)
Form 27 - Quarterly Mineral (Excluding Gold) Production Report (Excel, 19kb, opens in new window)
Form 27A - Quarterly Gold Production Report (Excel, 38kb, opens in new window)
Form 28 - Devolution (Word, 46kb, opens in new window)
Form 29 - Application for Copy Document (Word, 39kb, opens in new window)
Form 30 - Application to Amend (Word, 33kb, opens in new window)
Forms 31-40
Form 31 - Power of Attorney Download (PDF, 65kb, opens in new window) Form 32 - Security (PDF, 42kb, opens in new window) Form 33 - Plaint (PDF, 80kb, opens in new window) Form 34 - Summons (PDF, 44kb, opens in new window) Form 35 - Affidavit of Service Download (PDF, 74kb, opens in new window) Form 35A - Application for Forfeiture under Section 96(1)(b) or 98 (PDF, 79kb, opens in new window) Form 36 - Response Download (PDF, 75kb, opens in new window) Form 36A - Interlocutory Application (PDF, 80kb, opens in new window) Form 37 - Summons to Witness (PDF, 83kb, opens in new window) Form 38 - Judgement of a Warden's Court / Determination of a Warden (PDF, 68kb, opens in new window) Form 39 - Warrant of Execution (PDF, 42kb, opens in new window) Form 40 - Warrant for Recovery of Possession (PDF, 33kb, opens in new window)
Form 31 - Power of Attorney Download (Word, 27kb, opens in new window)
Form 32 - Security (Word, 32kb, opens in new window)
Form 33 - Plaint (Word, 53kb, opens in new window)
Form 34 - Summons (Word, 41kb, opens in new window)
Form 35 - Affidavit of Service Download (Word, 31kb, opens in new window)
Form 35A - Application for Forfeiture under Section 96(1)(b) or 98 (Word, 31kb, opens in new window)
Form 36 - Response Download (Word, 33kb, opens in new window)
Form 36A - Interlocutory Application (Word, 36kb, opens in new window)
Form 37 - Summons to Witness (Word, 39kb, opens in new window)
Form 38 - Judgement of a Warden's Court / Determination of a Warden (Word, 32kb, opens in new window)
Form 39 - Warrant of Execution (Word, 54kb, opens in new window)
Form 40 - Warrant for Recovery of Possession (Word, 34kb, opens in new window)
Forms 41-50
Form 41 - Notice of Seizure (PDF, 31kb, opens in new window) Form 42 - Notice of Appeal under Section 147 (PDF, 73kb, opens in new window) Form 43 - Injunction (PDF, 63kb, opens in new window) Form 44 - Report of Approved Surveyors (PDF, 9kb, opens in new window)
Form 41 - Notice of Seizure (Word, 36kb, opens in new window)
Form 42 - Notice of Appeal under Section 147 (Word, 25kb, opens in new window)
Form 43 - Injunction (Word, 22kb, opens in new window)
Form 44 - Report of Approved Surveyors (Word, 35kb, opens in new window)
Form 99
Form 99 - Statutory Declaration (PDF, 24kb Opens in new window)
Form 99 - Statutory Declaration (Word, 39kb Opens in new window)










