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Registration of Prescribed Accommodation Application


Public Health and Wellbeing Act 2008


There are some hard words in this form.  The hard words are underlined.  Click on the words to read what they mean on our definitions page.


For the current fee due please call Council's Health Department on (03) 5153 9500.


A member of the Customer Service Team will be in contact to arrange for payment of this application.


Fields marked with an asterisk (*) must be completed
Proprietor/s Details
Phone number
Prescribed Accommodation Details
Everyone must fill in this section
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    Privacy Statement

    The East Gippsland Shire Council asks for details about you to collect rates, approve permits and licences, and run a range of community services.  The information you give to us on this form is used only for the reasons set out in the form and is not given to anybody else. Sometimes we may supply details about you to someone else, but only if we are allowed by law, or to protect someone or property.

    When information is given out, Council will always try to make sure your privacy is protected in line with the Privacy and Data Protection Act 2014.  You may ask for more information about Council’s Privacy Policy by contacting our Information Privacy Officer on 03 5153 9500 or e-mail feedback@egipps.vic.gov.au


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