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Community Directory
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Food Safety
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Libraries
Liquor Licensing
Noise Control
Parks and Reserves
Rates
Refuse
Resource Consents
Roads
Rural Fire
Swimming Pools
Water
 

FORMS/INFORMATION

 
We are attempting to provide as many as possible of the forms used to make applications to Council. Most forms on this page are in PDF format, which you can print off and post back to Council. In some cases, where no signature or payment is required, you can fill out an online application form. Where fees are chargeable please remember that the application is incomplete until such time as payment has been made to the Council.

If you experience difficulty downloading and opening any of these forms it may be because your Adobe Acrobat Reader is an older version. Please click on the logo to download the latest reader.

Please select from one of the following options:
 
Amusement Devices
Animal Control
Building Consents
Camping Grounds
Community Directory
Employment
Fencing of Pools
Food Hygiene
Funding Schemes
Gambling
Hairdressers
Infectious Diseases
Land Information Memorandum
Libraries
Liquor Licensing
Noise Control
Private Water Supplies
Premises Registration
Project Information Memorandum
Rainwater Systems
Resource Consents
Roading
Rural Fire
Sewerage
Water
 

 
Amusement Devices
 
Application for a permit to operate an amusement device
 

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Animal Control
 
Dog Registration Form [pdf]
Dog Registration Form [on line version]
Dog Control Policy [pdf]
Changes to the Dog Control Act (pdf)
 

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Building Consents
 

Application forms

Checklists/Information

 
Application - Advice of Completion of Building Work
Application for Certificate for Public Use
Application for Variation of Building Consent
Building Consent application
Application -
Certificate of Acceptance
 
 
Checklist - Commercial & Industrial Buildings
Checklist - Conservatories
Checklist - Construction of a Timber Deck
Checklist - Demolition Removal Consents
Checklist - Domestic Bathrooms Alterations and Extensions
Checklist - Drainage
Checklist - Dwelling Alterations and Extensions
Checklist - Farm Buildings
Checklist - Garages, Carports and Sheds
Checklist - Heating Appliances
Checklist - New Dwellings
Checklist - Relocated Buildings
 
Advice Note - Marquees
Building Consent Fees & Charges


Customer Information
Guide to Building Consent Applications
Guide to Certificate of Acceptance
Guide to Smoke Alarms
LPG in the Home [Leaflet]
Regional Council Air Plan implications
 
 

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Camping Grounds
 
Application for Registered Premises
Explanatory Leaflet - Camping Grounds
Explanatory Leaflet - Fire Precautions
 

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Community Directory

Community Directory alteration/new listing form (pdf)


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Employment

Job Application form (pdf)
Job Application form (online version)
 

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Fencing Of Pools
 
Fencing of Pools Guidelines
 

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Food Hygiene
 

Application forms

Newsletters

 
Farmers Market Application Form
Registered Premises
 
Hawkers and Kerbside traders application form
 
Application form for food sales by Voluntary Organisations [Apply on line]
Application form for food sales by Voluntary Organisations [pdf version]
Application form for food sales by Voluntary Organisations [Word version]
 

No 1 - August 2003
No 2 - February 2004
No 3 - June 2004
No 4 - October 2004

No 5 - January 2005
No 6 - June 2005
No 7 - February 2006

No 8 - July 2006
No 9 - December 2006
No 10 - August 2007 [Large file, 613 kb]

No 11 - January 2008 [LATEST EDITION!]

Template documents

Pamphlets

 
Approved Suppliers sheet [pdf version]
Approved Suppliers sheet [word version]
Checking Food is Cooked sheet [pdf version]
Checking Food is Cooked sheet [word version]
Cleaning Schedules [pdf version]
Cleaning Schedules [Word version]
Cooling hot prepared food [pdf version]
Cooling hot prepared food [word version]
Diary sheet [pdf version]
Diary sheet [word version]
FCP Manager Training Record sheet [pdf version]
FCP Manager Training Record sheet [pdf version]
Four-week Review sheet [pdf version]
Four-week Review sheet [word version]
Pest control chart (pdf version)

Pest control chart (Word version)

Planned Maintenance [pdf version]
Planned Maintenance [Word Version]
Sickness Monitoring form [pdf version]
Sickness Monitoring form [word version]
Sickness Policy [pdf version]
Sickness Policy [
word version]

Sickness Template background [pdf version]
Sickness Template background [word version]
Staff FCP Training Record sheet [pdf version]
Staff FCP Training Record sheet [word version]
Staff Sickness Record Sheet [pdf version]
Staff Sickness Record Sheet [word version]
Staff Training Record Sheet [pdf version]
Staff Training Record Sheet [word version]
Temperature Monitoring form (pdf version)
Temperature Monitoring
form (word file)
Thermometer Calibration chart [pdf version]
Thermometer Calibration chart [word version]
Time Temperature Settings [pdf version]
Time Temperature Settings [word version]
Training Monitoring form [pdf version]
Training Monitoring form [
word version]
Transporting Food sheet [pdf version]
Transporting Food sheet [word version]
Unplanned Maintenance sheet [pdf version]
Unplanned Maintenance sheet [word version]
 

 

Advice for Home Caterers
Barbeques and Sausage Sizzles
Buffets & high risk foods
Farmers Market Guidelines
Fresh meat sales at Markets
Guide to Hangi
Home Catering
Homestay Advice
Sale of home baked Cakes
Sale of Cheese Rolls
Sale of home made Jams
Sale of Sweets & other Confectionery
Sickness Policy Background
Sickness Policy template

Starting a Food Business
 

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Funding Schemes
 
Creative Communities Funding Scheme Application Form
General Grant Application Form
Policy on General Grant Allocation
 

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Gambling
 
Application form for Class 4 Venue
Police supplement
Gambling Policy
 

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Hairdressers
 
Hairdressers Guide to Requirements
 

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Infectious Disease Control Pamphlets
 
Campylobacter infection
Cryptosporidia infection
Giardia Infection

Salmonella infection
 

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Land Information Memorandum [LIM]
 
Application for LIM
Application for PIM
 

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Libraries
 
Adult Member Application Form
Youth Member Application Form
 

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Liquor Licensing
 
On / Off / Club Licence Applications

Specials and Temporary Authority Applications

 
Application for Club Licence
Application for Off Licence
Application for On Licence
Application for Renewal of On/Off/Club Licence
Application for Variation of Conditions
 
 
Application for Special Licence
Application for Temporary Authority

Managers Applications

Miscellaneous Applications

 
Application for Manager's Certificate
Application for Renewal of Manager's Certificate
Licence Controller Qualification application form
Police Authorisation Form
Undertaking for General Managers Certificate
 
General Manager's Certificate General Information
 
 
Application for Re-definition or Re-designation
Application for Gambling Venue
 

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Noise Control
 
Diary Sheet
 

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Private Water Supplies
 
Leaflet
 

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Premises Registration
 
Registered Premises (Health Regulations)
Registered Premises (Local Government Act)
 

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Project Information Memorandum [PIM]
 
PIM/Building Consent Application
 

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Rainwater Systems
 
Caring for Rainwater Tanks
 

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Resource Consents
 

Application Forms

Pamphlets

 
Submission on a Publicly Notified Application Concerning Resource Consent (Form 13)
Application for Resource Consent (Form 5)
Submission on an Application for Resource Consent (Form 6A)
Affected Parties Form of Consent
Application for Section 139 Compliance Certificate
 
 
Forestry in the Clutha District
Dairy Farming in the Clutha District
Consultation with Iwi
Advertising Signs in the Clutha District
Industry in the Clutha District
Relocating a Dwelling

Resource Consent Application Guide for Notified Applications
Resource Consent Application Guide for Non-notified Applications
Assessment of Environmental Effects
 
 

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Roading

Application for applying oil on roads - by applicant
Application for applying oil on roads - by Council
Non-Spray Register form
Trees shading or overhanging Road Reserve brochure
 

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Rural Fire
 
Fire Permit application [apply on line]
Fire permit application [pdf]
 

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Sewerage

Sewer connection application form

 

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Water

Water connection application form

 

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Clutha District Council, PO Box 25, Balclutha