LTCN change enquiry form

LTCN change enquiry form

Background information and the steps to be taken to submit a request for a change to the LTCN are found in the change management process guide found above
Route description/location
Route number
Change type
Requesting organisation
Date
Contact Person
Position
Email
Phone
Change description (Describe the changes proposed)
Change reason (Outline why the change is needed)
Authority to submit request (Why your organisation is submitting the request)
Supporting evidence provided (Supporting evidence to be provided via email to activetransport@transport.wa.gov.au)
Network impact assessment (Outline the potential impact of the change on the network)
By submitting the LTCN change enquiry form, your information is collected by the Department of Transport and Major Infrastructure (DTMI). The information collected will be used to action your request. If you do not provide your personal information, you are not able to submit a LCTN change request enquiry.

We do not disclose your personal information for any other purpose unless requested by an authorised Commonwealth agency under the PRIS Act or required by law.

You have the right to access and correct your information. For more information please refer to DTMIs Privacy policy, and if you have any questions or concerns about this Privacy collection notice, please contact privacy@transport.wa.gov.au or activetransport@transport.wa.gov.au.
Please verify that you are human
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