Disclose a political donation or gift

Please complete the form below to make a political donations and gifts disclosure under Section 147(7) and (5) of the Environmental Planning and Assessment Act 1979.

Fields marked with an asterisk () are mandatory.

Form Section

Details of person or organisation making donation or gift

Name of individual or organisation

Residential or office address

Name / address of planning application

Consent or approval authority

Your interest in the application

You are the applicant Please select... Yes No

You are making a submission in relation to an application Please select... Yes No

Details of donations

Name of person or party to benefit from donation

Date donation made

Amount of donation

Details of gifts

Name of person or party to whom gift is made

Date gift made

Amount or value of gift