Petroleum titles forms and guidelines

Petroleum Act 1984: NT onshore and inland waters

You can only apply for a petroleum exploration permit as part of a competitive tender through an acreage release process by the Northern Territory Government.

To find out more, go to the Department of Industry, Tourism and Trade website.

Forms: petroleum titles

These forms relate to petroleum titles. They are approved forms under the Petroleum Act 1984. Read more about petroleum titles.

For more information or assistance, contact the Energy Titles Team by calling 08 8999 7112 or emailing energytitles.ditt@nt.gov.au.

Title of formUse

Access authority application PDF (163.9 KB)

Access authority application DOCX (62.3 KB)

Use this form to apply for an access authority to conduct operations outside of your title area.

Consent to surrender application PDF (165.4 KB)

Consent to surrender application DOCX (62.2 KB)

Use this form to apply for consent to surrender a permit or licence.

Dealing application PDF (176.6 KB)

Dealing application DOCX (65.2 KB)

Use this form to apply for approval and registration of a dealing. Eg deed of assignment and assumption, farm-in agreement, joint venture agreement.

Renewal application PDF (184.4 KB)

Renewal application DOCX (63.5 KB)

Use this for to apply for renewal of exploration permit.

Transfer application PDF (192.1 KB)

Transfer application DOCX (67.0 KB)

Use this form to apply for approval and registration of the transfer of a title. 

Forms: land access agreements

These forms relate to land access agreements. They are approved forms under the Petroleum Regulations 2020.

Read more about land access agreements for petroleum activities.

For more information or assistance, contact the Land Access Team by calling 08 8999 5240 or emailing landaccess.ditt@nt.gov.au.

Title of formUse
Form 13 Notice to CEO of change to designated person DOCX (65.4 KB) Use this form if you have become the landholder (and designated person) to an approved land access agreement.
Form 15 Negotiation notice DOCX (71.5 KB) Use this form to notify a landholder that you want to begin negotiations to reach a land access agreement.
Form 18 Notice of alternative dispute resolution DOCX (70.5 KB) Use this form to notify a landholder that you want to begin an alternative dispute resolution process to reach a land access agreement.
Form 19 Application to appoint a member of the mediators panel DOCX (66.3 KB)  Use this form to appoint a member of the mediators panel to help you reach or vary a land access agreement.
Form 31 Application for approval of access agreement DOCX (64.5 KB) Use this form to apply for approval of a land access agreement.
Form 33 Application to register access agreement DOCX (64.7 KB) Use this form to register a land access agreement determined by the tribunal.
Form 35 Application to inspect access agreement register DOCX (63.3 KB) Use this form to inspect the land access agreement register.
Form 36 Application for certified copy or certificate from register DOCX (61.5 KB) Use this form to get a certified copy or certificate from the land access agreement register.
Form 37 Notice of alternative dispute resolution for variation DOCX (65.7 KB) Use this form to notify a petroleum interest holder/landholder that you want to begin an alternative dispute resolution process to vary an approved land access agreement.
Form 39 Application for approval or registration of variation DOCX (65.1 KB) Use this form to seek approval or registration to vary an existing land access agreement.
Form 44 Application for authorised officer to conduct inspection DOCX (65.4 KB) Use this form to apply for an authorised officer to conduct an inspection into a dispute or alleged breach of an approved land access agreement.
Form 45 Application for authorised officer to conduct conference
DOCX (65.4 KB)
Use this form to apply for an authorised officer to conduct a conference in relation to a dispute or alleged breach of an approved land access agreement.
Form 50 Notice to chief executive officer DOCX (65.6 KB) Use this form to notify the chief executive officer that you have issued form 15, 18, 37, 52 or 54, or made an application to the tribunal in relation to a land access agreement.
Form 51 Notice to owner of approved access agreement or variation DOCX (64.0 KB) Use this form to notify a landowner that the minister has approved a land access agreement or a variation to an existing land access agreement (if the landholder is the occupier not the owner of the land).
Form 52 Notice of preliminary activities DOCX (71.5 KB) Use this form to notify a landholder that you intend to conduct preliminary activities.
Form 54 Notice of airborne survey activity DOCX (70.6 KB) Use this form to notify a landholder that you intend to conduct airborne survey activities.
Form 69 Application for registration of agreement under transitional provisions DOCX (65.5 KB) Use this form to register an existing land access agreement with a landholder during the transition period.
Form 70 Application to appoint a panel mediator for pre-transition period negotiations DOCX (64.0 KB) Use this form to appoint a member of the mediators panel to conduct a mediation where negotiations to reach an land access agreement commenced before the Petroleum Regulations 2020 came into effect.

Guidelines

Title of formUse

Guideline for surrendering a permit or licence PDF (607.2 KB)
Guideline for surrendering a permit or licence DOCX (50.7 KB)

Read this guideline on how to surrender a permit or licence.

Guide to land access in the NT PDF (854.5 KB)
Guide to land access in the NT DOCX (658.0 KB)

Read this guideline to find out more about the land access process in the NT.

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Last updated: 25 August 2021

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