Closed Road Access Permit Application Form

Closed Road Access Permit Form

Permit Details

Applicant Details

Applicant Details

Travel Information

Travel Information

From To Enter date in dd/mm/yyyy format (e.g. 25/12/2019).
Include all roads within the closed road section in sequence from start to end. State and National Road numbers will not be accepted.

Occupant and Vehicle Details

Occupant Details

Occupant Details

Please provide the Full Name, Mobile Number and Property Address of all occupants of the vehicle. These details are required for Occupants to be valid to travel under the permit.

Vehicle Details

Please provide details of the vehicle travelling on the closed road. 

Vehicle Details

Please provide details of the vehicle travelling on the closed road. 

Please provide all the registration numbers of trailers being towed by the vehicle. If more than one trailer is being towed, please list all registration numbers in order separated by a comma.

Acknowledgment

Your travel is not deemed essential and therefore a pemit to travel on closed roads will not be issued. Please reconsider your travel arrangements. If you wish to query this please use the Contact Us Form to reach out.

Your travel is not deemed essential and therefore a pemit to travel on closed roads will not be issued. Please reconsider your travel arrangements. If you wish to query this please use the Contact Us Form to reach out.

Indemnity and Acknowledgement

The permit holder acknowledges and accepts all risks associated with travel undertaken under this permit and indemnifies and absolves Main Roads Western Australia, their employees, contractors and agents from and against any loss, damage, claim, liability, cost, expense, personal injury or death arising directly or indirectly from travel undertaken under this permit.

The permit holder accepts full responsibility for all costs arising from travel on a closed road, including but not limited to vehicle recovery, towing, accommodation, emergency response, rescue operations, repairs, medical expenses, environmental remediation and any other associated costs.

The permit holder further acknowledges that Main Roads, emergency services and other support agencies are under no obligation to provide assistance, recovery, or rescue services and that the permit holder remains responsible for the actions of all drivers, occupants, contractors and vehicles operating under this permit.

By submitting the application form, the applicant accepts all Conditions associated with Closed Road Access. They can be viewed here.

Indemnity and Acknowledgement

The permit holder acknowledges and accepts all risks associated with travel undertaken under this permit and indemnifies and absolves Main Roads Western Australia, their employees, contractors and agents from and against any loss, damage, claim, liability, cost, expense, personal injury or death arising directly or indirectly from travel undertaken under this permit.

The permit holder accepts full responsibility for all costs arising from travel on a closed road, including but not limited to vehicle recovery, towing, accommodation, emergency response, rescue operations, repairs, medical expenses, environmental remediation and any other associated costs.

The permit holder further acknowledges that Main Roads, emergency services and other support agencies are under no obligation to provide assistance, recovery, or rescue services and that the permit holder remains responsible for the actions of all drivers, occupants, contractors and vehicles operating under this permit.

By submitting the application form, the applicant accepts all Conditions associated with Closed Road Access. They can be viewed here.

Before submitting your enquiry, please review the following

By submitting this enquiry, the information you provide – including any contact details – will be stored in Main Roads Western Australia’s customer relationship systems to help us investigate your enquiry and provide personalised service, in line with our Privacy Framework, Privacy Statement and the State Records Act 2000.

We may share your details with other government agencies or service providers if this is necessary to investigate your enquiry or to help maintain a safe road network.

For more information, please refer to our Privacy Framework and Privacy Statement. If you prefer to remain anonymous, you may submit the form without providing contact details.  

Before submitting your enquiry, please review the following

By submitting this enquiry, the information you provide – including any contact details – will be stored in Main Roads Western Australia’s customer relationship systems to help us investigate your enquiry and provide personalised service, in line with our Privacy Framework, Privacy Statement and the State Records Act 2000.

We may share your details with other government agencies or service providers if this is necessary to investigate your enquiry or to help maintain a safe road network.

For more information, please refer to our Privacy Framework and Privacy Statement. If you prefer to remain anonymous, you may submit the form without providing contact details.  

By submitting this online form, I am electronically signing this permit as an agreement.  I agree to comply with and ensure all others listed on this permit comply with the conditions and any instructions from emergency services and Main Roads personnel.  I understand the safety risks of entering the closed road. 

Acknowledgement of Country

The Government of Western Australia acknowledges the traditional custodians throughout Western Australia and their continuing connection to the land, waters and community. We pay our respects to all members of the Aboriginal communities and their cultures; and to Elders both past and present.

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