FORM 1
NOMINATION FORM—COLLECTION OF FIREWOOD FOR DOMESTIC USE
Name of nominating person
Address of nominating person
Telephone number of nominating person
I, the undersigned, under section 21M of the Crown Land (Reserves) Act 1978 , nominate [ name and address of nominated person ] to cut and take away fallen or felled trees on my behalf for domestic use as firewood.
The maximum amount of fallen or felled trees to be cut and taken away by [ name and address of nominated person ] is [ amount of fallen or felled trees ] cubic metres.
Signed
Date
Note—maximum amount
The specified maximum amount of fallen or felled trees must not exceed 16 cubic metres for the current financial year when added to the following amounts—
• the maximum amounts specified in any other nomination made by you or a member of your household (whether the nomination is made under the Crown Land (Reserves) Act 1978 or the Forests Act 1958 );
• the amounts of fallen or felled trees already cut and taken away in this financial year by you or members of your household as firewood (whether cut or taken away in a firewood collection area determined under the Crown Land (Reserves) Act 1978 or the Forests Act 1958 ).