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About forms and templates
Approved forms need to be completed for registration of a mineral claim, lease and licence applications and some other activities associated with a lease, licence or tenement.
Most forms are available as:
- PDF files that can be opened, printed and manually completed, or as
- MS Word eForm that can be completed electronically. eForms should be saved to your local drive before completing, and must be printed out and signed before lodging or serving.
A fee may apply when lodging a form.
Download the Fee schedule 01 July 2017 under the Mining Act (PDF 126 KB)
Templates are available for
- Notice of intent to identify a mineral claim in an alternate manner (i.e. a manner other than pegging)
- Mineral claim or miscellaneous purposes licence in an alternate manner
- Waiver of exemption - agreement
Forms
| No. | Form | Use this form to... |
|---|---|---|
| 05 | Mineral claim: application for registration (PDF 296 KB) Mineral claim: application for registration (DOCX 117 KB) | Apply to register a mineral claim that you have pegged |
| 06 | Mineral claim: surrender of registered claim (PDF 132 KB) Mineral claim: surrender of registered claim (DOCX 210 KB) | Surrender a mineral claim that is currently registered |
| 07 | Access claim: application for registration (PDF 220 KB) Access claim: application for registration (DOCX 87 KB) | Apply to register an access claim that you have pegged |
| 08 | Access claim: application for renewal (PDF 118 KB) Access claim: application for renewal (DOCX 257 KB) | Apply to renew an access claim that is currently registered |
| 09 | Access claim: surrender of registered claim (PDF 105 KB) Access claim: surrender of registered claim (DOCX 210 KB) | Surrender an access claim that is currently registered |
| 10 | Mining lease: application (PDF 376 KB) Mining lease: application (DOCX 373 KB) | Apply for a mining lease over all or part of a mineral claim |
| 12 | Retention lease: application (PDF 271 KB) Retention lease: application (DOCX 123 KB) | Apply for a retention lease over all or part of a mineral claim |
| 13 | Lease or licence: instrument of transfer (PDF 350 KB) Lease or licence: instrument of transfer (DOCX 327 KB) | Apply to transfer ownership of a tenement from one party to one other party. Both parties must complete this form. |
| 14 | Lease or licence: surrender (or partial surrender) (PDF 147 KB) Lease or licence: surrender (or partial surrender) (DOCX 237 KB) | Apply to surrender all of one or more tenements, or part of one tenement |
| 15 | Lease or licence: application for renewal (PDF 131 KB) Lease or licence: application for renewal (DOCX 220 KB) | Apply to renew one or more active tenements, between 3 and 6 months before the date of expiry (except exploration licences -use Form 29) |
| 17 | Miscellaneous purposes licence: application (PDF 373 KB) Miscellaneous purposes licence: application (DOCX 373 KB) | Apply for a miscellaneous purposes licence relating to the conduct of mining operations |
| 21 | Notice of entry on land (PDF 144 KB) Notice of entry on land (DOCX 101 KB) | Advise an owner of land of an intention to enter their land, under section 58A of the Act |
| 22 | Notice of use of declared equipment (PDF 89 KB) Notice of use of declared equipment (DOCX 101 KB) | Advise an owner of land of an intention to use specific equipment on their land |
| 23 | Waiver of exemption - Request (PDF 285 KB) Waiver of exemption - Request (DOCX 644 KB) | 23A - Request that an owner of land that is 'exempt land' enter into an agreement with a mining operator to allow exploration and/or mining operations on the land 23B - Enter into an agreement with an owner of exempt land to allow exploration and/or mining operations on the land, following service of Form 23A to request the agreement |
| 24 | Caveat against a mining tenement (PDF 176 KB) Caveat against a mining tenement (DOCX 299 KB) | Claim a legal or proprietary interest in a mining tenement and forbid further dealings on that tenement |
| 25 | Caveat by consent (PDF 191 KB) Caveat by consent (DOCX 324 KB) | Lodge a mining tenement sale agreement with a mining registrar and forbid any further dealings on that tenement during the purchase and transfer process |
| 26 | Mining return (sample only) (PDF 113 KB) | A tenement holder must submit mining return information every six months. This is posted to the holder (or a nominated agent) each June and December |
| 27 | Notice initiating negotiations with Native Title parties - section 63M (PDF 212 KB) Notice initiating negotiations with Native Title parties - section 63M (DOCX 441 KB) | Advise native title parties of an intention to seek a native title mining agreement under Part 9B of the Act |
| 28 | Private mine: royalty liability (PDF 131 KB) Private mine: royalty liability (DOCX 220 KB) | Notify the Minister that another party is authorised to carry out mining operations at a private mine and is to assume liability for the payment of royalty |
| 29 | Mineral exploration licence: application/ renewal (PDF 149 KB) Mineral exploration licence: application/ renewal (DOCX 193 KB) Note: Fee required with application(fee not required with renewal lodgement) | Apply for a new or subsequent exploration licence, or renew an active exploration licence |
| 29ERA | Mineral Exploration Release Area (ERA): Application (PDF 75 KB) Mineral Exploration Release Area (ERA): Application (DOCX 121 KB) | Apply for a published Exploration Release Area (ERA) within the allocated application timeframe |
| 30 | Private mine: notice of application to vary or revoke the declaration of an area (PDF 107 KB) Private mine: notice of application to vary or revoke the declaration of an area (DOCX 191 KB) | Give notice that the Director intends to make application under section 73M of the Act |
| 31 | Tenement Returns e-Lodgement (TReL) application (PDF 193 KB) Tenement Returns e-Lodgement (TReL) application (DOCX 279 KB) | Apply for a new user account for the TReL application, or modify/delete an existing account |
| 32 | Application: 17A - Reduced Royalty for New Mines (PDF 137 KB) | Make an application to the Minister for a mine to be declared a new mine for the purposes of section 17A of the Act |
ATTACHMENT: Applicant Details (extra copy) (PDF 155 KB) ATTACHMENT: Applicant Details (extra copy) (DOCX 253 KB) | An extra copy of the Applicant Details page that is already included within the relevant forms above | |
| 33 | Private mine (PM): Notification of 'relevant event' (PDF 206 KB) Private mine (PM): Notification of 'relevant event' (DOCX 88 KB) | Notify the Department of a change in the proprietor of a PM or the right to carry out mining operations at a PM |
Templates
Notice of intent to identify a mineral claim in an alternate manner (i.e. in a manner other than pegging)
Use this template to notify the owner of land of an intention to identify a mineral claim in an alternate manner. This notice does not authorise entry on land.
Download the Notice of intent to identify a mineral claim in an alternate manner (DOCX 192 KB)
Mineral claim or miscellaneous purposes licence: application to identify in an alternate manner
Use this template to apply for permission to identify a mineral claim or miscellaneous purposes licence in an alternate manner.
Download the Mineral claim or miscellaneous purposes licence: Application to identify in an alternate manner (DOCX 74 KB)
Waiver of exemption - Agreement
Use this template to enter into an agreement with a person who has the benefit of an exemption under section 9 of the Act to allow exploration and/or mining operations on the land, following service of Form 23 to request the agreement.
Download the Waiver of exemption - agreement (DOCX 58 KB)
Completed forms and templates
Completed forms and templates should be marked for the attention of Mineral tenements and sent to:
Mining Registrar
Mineral Tenements
Mineral Resources Division
Department of the Premier and Cabinet
GPO Box 320
Adelaide SA 5001