Forms
Schedule 1 Forms
[r. 3]
Form 1
Fishing and Related Industries Compensation (Marine Reserves) Act 1997
APPLICATION FOR COMPENSATION
Application1 is made to the Minister for Fisheries by ........................................... .................................................................................................................................................................................. of .......................................................................... .......................................................................... for compensation under section 5 of the Act. 2
Details of authorisation3 held by the applicant |
Event4 on which the claim for compensation is based |
Amount of compensation claimed5 | $ |
Manner in which amount of compensation claimed was calculated |
Dated: ..................................................
...............................................................
Applicant
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