Consultation Activities Feedback Form

Which proposed activity does this feedback relate to? *

Please enter the name of Environment Plan you wish to comment on

First Name *

Last Name *

Organsiation Name *

Phone *

Email *

Preferred method of contact

Describe you or your organisation's functions, interests and activities as they relate to the proposed activity

Describe what you consider to be the consequences of the proposed activity on you or your organisation's functions, interests and activities

What actions or controls do you consider appropriate for Woodside to undertake to limit any consequences of this proposed activity on your interests? What can Woodside do?

Would you like to provide any information to Woodside or would like Woodside to contact you to provide any further information or discuss any questions you have about the proposed activity and/or possible consequences to you or your organisation's functions, interest and activities?

Please tick this box if your feedback for the activities proposed under the environment plan is sensitive and Woodside will make this known to the relevant Regulator upon submission to ensure this information remains confidential to the Regulator.

Yes, I would like my feedback to remain confidential to NOPSEMA

Consent

I consent that the information provided will be processed for the purpose of feedback and I agree to the Privacy Statement