Instructions, templates and forms

These templates, forms and instructions are for stages of EIA of proposals and schemes from referral to report release. Click here for forms relating to implementation and post assessment.

To ensure proponents provide the necessary information with their request to change an approved proposal under s. 45C of the Environmental Protection Act 1986. A checklist is attached to the instructions.


The purpose of these instructions is to ensure proponents provide the necessary information with their request to undertake minor or preliminary work. A checklist is provided.


The purpose of the instructions it to assist proponents to prepare a request for a change to implementation conditions of an approved Ministerial Statement.

The Environmental Protection Authority (EPA) requires that proponents use the Form for all requests relating to changes to implementation conditions, so that it receives sufficient information about the requested changes to decide whether or not to assess it, and to determine the process for assessment.

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Instructions (PDF, 517.63 KB)517.63 KB
Form (DOCX, 1017.22 KB)1017.22 KB

The purpose of these instructions is to provide proponents with relevant information regarding the release of their draft Environmental Scoping Document (ESD) or Environmental Review Document (ERD) for public review during an assessment.

A template for the format and content of an advertisement of a document for public review is attached to these instructions


The purpose of these instructions is to assist referrers to fill out the EPA s38 referral form.

The Environmental Protection Authority (EPA) requires that referrers use the attached form for all proposals referred to the EPA under section 38 of the EP Act, to decide whether it is a valid referral and so that it receives sufficient information about a proposal to decide whether or not to assess it.

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Instructions and form (PDF, 841.77 KB)841.77 KB

The purpose of these instructions is to assist proponents to characterise their proposal for an environmental impact assessment under Part IV of the Environmental Protection Act 1986 (EP Act). The instructions do not apply to strategic proposals.

The template attached to these instructions provides the structure for defining the key proposal characteristics for new proposals and for changes to approved proposals.


The purpose of these instructions is to assist proponents to prepare an Environmental Review Document, which is required where the Environmental Protection Authority (EPA) has decided that the proponent must undertake an environmental review under section 40(2)(b) of the Environmental Protection Act 1986 (EP Act).

The template attached to these instructions provides the structure of the ERD and the minimum requirements for an ERD (including tables and figures). The EPA expects that the ERD contains the content outlined in the template and the proposal-specific requirements specified in the approved Environmental Scoping Document.

The EPA expects that proponents follow the ERD template.

This template is to be used for new, revised and strategic proposals.


The purpose of these instructions is to assist proponents to prepare an Environmental Scoping Document, which is required where the Environmental Protection Authority (EPA) has decided that the proponent must undertake an environmental review under section 40(2)(b) of the Environmental Protection Act 1986 (EP Act).

The EPA requires that proponents use the Environmental Scoping Document (ESD) template included with these instructions for all proponent-prepared ESDs.


The purpose of these instructions is to assist proponents to prepare Environmental Management Plans that may be provided at referral, required during an assessment by the EPA, or required as an implementation condition under Part IV of the Environmental Protection Act 1986.

For some of the EPA’s environmental factors there is additional guidance on the development of Environmental Management Plans. Refer to the relevant technical guidance in the EPA’s Framework for environmental considerations in EIA.

This guidance does not cover the preparation of Mine Closure Plans. Refer to the Guidelines for Preparing Mine Closure Plans (DMP and EPA, 2015) when preparing mine closure plans.

The template attached to these instructions provides the structure of the Environmental Management Plan (EMP) and the minimum requirements that the EPA/DWER needs to assess and/or approve the plan. The EPA expects that proponents follow the EMP template (unless otherwise agreed with the DWER), so that the EMP is concise.


This form should be used by a Proponent to notify the Department of Water and Environmental Regulation of a change of Address and/or Company Name.

NOTE: This form cannot be used to change a nominated Proponent under Section 36(a) of the Environmental Protection Act 1986. This form must be used in this circumstance.


This form is to be used for referral of Planning Schemes and Amendments to the EPA under the Planning and Development Act 2005, the Metropolitan Redevelopment Act 2011 and the Hope Valley Wattleup Redevelopment Act 2000.

All planning schemes and amendments must be referred to the EPA by the responsible authority.

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s48A Referral form (DOC, 231 KB)231 KB

An audit table for the Statement addressed in this Statement of Compliance must be provided as Attachment 2. Post Assessment Guideline 1 provides an audit table template and describes its attributes.