Refer a dispute form | Land Access Ombudsman

Use this form to refer a dispute to us. Before starting, make sure you have a digital copy of your Conduct and Compensation Agreement or Make Good Agreement, as well as any photos, documented communication (for example letters or emails) or other files to support your dispute.

Required fields are marked with an asterisk (*).

Type of dispute

Do you have a: *

Conduct and compensation agreement (CCA)
Make good agreement (MGA)

What is the resource activity? *

Coal
Minerals
Petroleum and gas (including coal seam gas)

Your details

I am the: *

Landowner/occupier
Resource authority/tenure holder

Title

Given name/s *

Surname *

Company name If applicable.

Street or PO Box

Suburb

Postcode

Phone number *

Mobile number

Email address *

Preferred method of contact *

Phone
Email
Letter

Best times to call

Who is the other party to your dispute?

They are the:

Landowner/occupier
Resource authority/tenure holder

Title

Given name/s

Surname

Company name If applicable.

Street or PO Box

Suburb

Postcode

Phone number

Mobile number

Email address

Have you tried to resolve the dispute?

Have you attempted to resolve the dispute with the other party? *

If yes, please give details *

Has the dispute been investigated by a government department? *

If yes, please give details *

Has the dispute been to arbitration or the Land Court? *

If yes, please give details *

Tell us about your dispute

Site address

Explain what your dispute is about * What happened, who was involved, when and where it happened, when you became aware of the problem, the main issues you are concerned about, etc. You can attach relevant documents below.

What do you think should be done to resolve the dispute?

Attachments

Please attach copies of relevant documents, such as your CCA or MGA, letters, reports, photographs, etc. Please advise the Land Access Ombudsman if you believe a document or information is confidential, or might be detrimental to a party’s commercial interests. The Land Access Ombudsman Act 2017 allows you to give us a copy of your CCA or MGA even if it contains a confidentiality condition.

Additional attachment

If you need to attach more documents, please email them to enquiries@lao.org.au

Do you require help to access our services?

Do you have a disability that means you require assistance to access our services?

If yes, please tell us how we can help

Consent

Do you give permission for the Land Access Ombudsman to obtain and/or exchange documents and information containing your personal information to any third party or government agency (including the other party to the dispute) that, in the opinion of the Land Access Ombudsman, is necessary for the purposes of assessing and investigating your dispute, and disclose and transfer your dispute and relevant personal information to a government agency to investigate and respond to you if, in the opinion of the Land Access Ombudsman, another agency is more appropriate to investigate and respond to your dispute. *

Last updated: 07 Jul 2022