2. Company (Applicant)*
  3. Contact Name (In Applicant Company)*
  4. Contact Details: Phone *
  5. Contact Details: Email*
  6. Related Company
  7. Title of Work/Activity
  8. Summary of Works*
  9. Closure Type
  10. Location (Citylink is made up of Western and Southern Links - choose relevant location/s for this request)
  11. Western Link Segment
  12. Southern Link Segment
  13. Other Segment
  14. Does the work require Traffic Management Plan (TMP) or Traffic Guidance Scheme (TGS)?
  15. Do you have a prepared Traffic Management Plan (TMP) or Traffic Guidance Scheme (TGS)? If so, please attach the TMP as part of the 'Supporting Documents'
  16. Proposed start date of works
  17. Proposed end date of works
  18. Are the works during the Day, Night or both?
  19. Supporting Documents
  20. Attachments (If TMP/TGS or other documents are prepared, please attach)
  21. Emergency Access
  22. Submit
  23. Section

This e-form is to be filled out by any third party who seeks to undertake works that may impact CityLink. This is an initial contact point. You will receive further contact regarding next steps, including if additional information is required.

Note: Submitting this form does not give the requesting party any right to access our asset. This is NOT a CityLink Permit to Work – A separate detailed and approved Permit to Work on CityLink is required before any work or access can commence. This form is not for emergency access.