Service Requested: Occupancy Loading Recommendation & Report (In accordance with S86 of the Liquor Act 2013, ACTF&R provide recommendation to the Commissioner for Fair Trading) Service Requested: Occupancy Loading Recommendation & Report Inspections/ Site information: Preferred Inspection Date Date Time Street Address City State / Province ZIP / Postal Code Note: Fill out applicable sections Inspection Requested By: Company Contact Mobile Attention Invoice To: Company ABN Contact Name Phone / Fax Street Address City State / Province ZIP / Postal Code Purchase Order Email Note : All fields in this part must be completed Applicant Agreement: I (Name of Applicant) Of (Address of Applicant) Applicant Agreement: - Select a value -I agree to pay ACTF&R as required by the Liquor Act 2010, s 227 (Determination of fees) for the provision of services. Payment will be sought from the abovementioned irrespective of whether they are acting on behalf of another person/party The following agreement for payment of services is required from the applicant before ACTF&R will accept this application. (In accordance with S86 of the Liquor Act 2013, ACTF&R provide recommendation to the Commissioner for Fair Trading) Send message