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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) | Request an owner of land who has the benefit of an exemption under section 9 of the Mining Act 1971 enter into an agreement to allow exploration and/or mining operations on the land See below for a Waiver of Exemption - Agreement template. |
| 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
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)
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 and can only be server after approval to identify in an alternate manner had been provided by the Mining Registrar.
Download the Notice of intent to identify a mineral claim in an alternate manner (DOCX 192 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