Revised DA FORM 1 - Driverway

PART 9 — FOR COMPLETION OF THE ASSESSMENT MANAGER - FOR OFFICE
USE ONLY

Date received: LT Reference number(s): [ |

Notification of engagement of alternative assessment atelatelefelg
Prescribed assessment manager

 

     

 

Name of chosen assessment manager

 

Date chosen assessment manager engaged

 

Contact number of chosen assessment manager

Relevant licence number(s) of chosen assessment
manager

 

 

QLeave notification and payment
Note: For completion by

Description of the work
QLeave project number
Amount paid ($) Date paid (dd/mm/yy) |
Date receipted form sighted by assessment manager
Name of officer who sighted the form

  
   

 

 

 

 

 

 

 

 

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DA Form 1 — Development application details
Version 1.3— 28 September 2020