Online Form - Petitions Submission Form

The Local Government (Meeting Procedure) Local Law 2021 details the full requirements for the submission of Petitions.

This Petition Template may be used to collect signatures for your submission.

Please submit a hard copy of this Petition to the Mayor prior to the commencement of the subject Ordinary Council Meeting, if this form is submitted within 24 hours of that meeting.

To:

Mayor

Town of Cottesloe

PO Box 606,

Cottesloe WA 6011

town@cottesloe.wa.gov.au

We the undersigned, being the electors of the district, formally petition the Town of Cottesloe to address the following:

Name*

Address

Street Address:*

City:*

State:*

Post Code:*

Country:*

Email*

Phone

We the undersigned, being the electors of the district, formally petition the Town of Cottesloe to address the following:

Please upload a copy of the Petition with the name, address and signature of each elector making the request, including the date that the elector signed.*

Max File Size: 10.00 MB
Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx

I have read, understand and submit this Petition in line with the Town of Cottesloe’s Local Government Meeting Procedures Local Law 2021*

YesNo

As the initiator of this petition, I confirm that I can be contacted at the address nominated above for further information in relation to this matter.

YesNo

How can we help you?

Online Form - Petitions Submission Form