Annual Fire Safety Statement - Request for a Stay of Infringement

This form should be completed where an Annual or Supplementary Fire Safety Statement cannot be submitted by the due date.

Note:

Please ensure all fields on this form are completed. Incomplete applications are unable to be considered and will be declined.
If the space in the fields provided is insufficient, please attach additional pages where required.
An invoice for the associated fee will be sent to you and must be paid within 48 hours. Failure to arrange payment will result in your application being declined, which may result in a penalty infringement notice being issued.

Printable Form

City of Newcastle acknowledges that we operate on the grounds of the traditional country of the Awabakal and Worimi peoples.
We recognise and respect their cultural heritage, beliefs and continuing relationship with the land, and that they are the proud survivors of more than two hundred years of dispossession.
CN reiterates its commitment to address disadvantages and attain justice for Aboriginal and Torres Strait Islander peoples of this community.