Form
Environmentally relevant activities (ERAs)
Details of regulated waste vehicles—ERA 57
OFFICIAL USE ONLY
This form is to be used:
DATE RECEIVED
 When applying for a new environmental authority, to provide details of
vehicles intended for use as regulated waste vehicles 1;
 At any other time, to provide details of any required amendment to the list of
regulated waste vehicles already registered for use under an existing
environmental authority by addition or removal of vehicle details (within the
approved threshold).
FILE REF
PROJECT REF
These tasks can also be completed online via Connect. For more information
and to register to use Connect go to www.ehp.qld.gov.au/connect
COMPLETE FORM
CORRECT AA
The local Department of Environment and Heritage Protection (EHP) office
should be contacted if you need assistance completing this form correctly.
COMPLETE FEE
Application details
ENTERED BY [SIGNATURE]
1.
Applicant/registered suitable operator
APPLICANT’S NAME
DATE
TRADING NAME
GUIDE
The “applicant” name must be the
same as the applicant nominated
on the application form.
1
TELEPHONE
FASCIMILE
E-MAIL
Under Schedule 2 of the Environmental Protection Regulation 2008, vehicle “includes the part of an aircraft,
boat, rolling stock, semi-trailer, tanker, trailer or truck, used to transport the regulated waste”. This form is for
use for providing details of road based vehicles only.
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Form
Details of regulated waste vehicles—ERA 57
2.
The “registered suitable operator”
name must be the same as the
holder of the applicable
environmental authority (see s. 2)
If you already have an
environmental authority for
regulated waste transport, please
provide the environmental authority
number.
Is this form being completed to support an application for an
environmental authority or to amend the list of registered regulated
waste vehicles operating under an existing environmental authority?
APPLICATION
 Go to Section 3
AMENDMENT
 Provide environmental authority number and go to Section 4
Environmental authority number
ENVIRONMENTAL AUTHORITY NUMBER
3.
Enter in the table opposite the
details of all vehicles you intend
operating.
Vehicle(s) definition:
The term vehicle(s) includes the
part of an aircraft, boat, rolling
stock, semi-trailer, tanker, trailer or
truck, used to transport the
regulated waste.
Provide details of every vehicle to be registered on the database
If you require more space please attach a signed and dated appendix, providing the
same information in a similar format as the table below.
When completed, go to Sections 5 and 6
Type of vehicle
e.g. tanker
Make of vehicle
truck
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Year of
manufacture
Vehicle
registration
number
Department of Environment and Heritage Protection
Form
Details of regulated waste vehicles—ERA 57
Amendment, other than in
association with an annual return
The details of any vehicle listed in
the table opposite will be added to
or removed from the list that is
currently registered on the
administering authority’s database.
4.
Provide details of vehicle(s) to be added to or removed from the
register.
If you require more space please attach a signed and dated appendix, providing the same
information in a similar format as the tables below.
When completed, go to Sections 5 and 6.
Vehicles to be added
Where a change in the number of
vehicles will change the ERA
threshold, you will need to complete
an “Application to amend an
environmental authority” (available
at www.qld.gov.au using the
publication number ESR/2015/1733
as a search term).
Type of vehicle
e.g. tanker
Make of vehicle
truck
Year of
manufacture
Vehicle
registration
number
Vehicles to be removed
Type of vehicle
e.g. tanker
Make of vehicle
truck
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Year of
manufacture
Vehicle
registration
number
Department of Environment and Heritage Protection
Form
Details of regulated waste vehicles—ERA 57
5.
Declaration
Note: If you do not tell the truth in this application you may be liable for prosecution under the relevant
acts or regulations.

I do solemnly and sincerely declare that the information provided is true and correct to the
best of my knowledge. I understand that it is an offence under s. 480 of the EP Act to give to
the administering authority or an authorised person a document containing information that I
know to be false, misleading or incomplete in a material particular; and

I understand that all information supplied on or with this application form may be disclosed
publicly in accordance with the Right to Information Act 2009 and the Evidence Act 1977.
APPLICANT’S NAME
APPLICANT’S SIGNATURE
DATE
Privacy statement
The Department of Environment and Heritage Protection is committed to protecting the privacy, accuracy
and security of your personal information in accordance with the Information Privacy Act 2009. The
department is collecting your personal information for the purposes of processing the application for, and/or
administering the registration certificate for regulated waste transport. The information will only be accessed
by authorised employees within the department. Your information will not be given to any other person or
agency unless you have given us permission or we are authorised or required by law. All information
supplied on this form may be disclosed publicly in accordance with the Right to Information Act 2009 and
Evidence Act 1977. For queries about privacy matters email: [email protected] or telephone:
13QGOV (13 74 68).
6.
Applicant’s checklist
Supporting information (if applicable)
Please return your completed application form to:
Permit and Licence Management
Department of Environment and Heritage Protection
GPO Box 2454
Brisbane QLD 4001
Enquiries: 13 QGOV (13 74 68)
Facsimile: (07) 3330 5875
Email: [email protected]
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Department of Environment and Heritage Protection