On this page, you will find forms related to petroleum and geothermal applications and title administration. Forms not listed on this page are now available for download through the Petroleum and Geothermal Register (PGR). These forms are to be submitted via PGR using the online lodgement facility, as this is the department’s approved and only method for receiving these application types.
Some documents are currently not accessibility compliant. Please contact the Online Services on
Phone: +61 8 9222 3333
Email: online@dmpe.wa.gov.au for a web accessible WCAG 2.0 version.
Access PGR to download and submit forms and lodge applications online.
Petroleum and Geothermal Register (PGR)
Annual reporting templates
Exploration Permit Annual Assessment Report Guidance Notes - 260 Kb
Exploration Permit Annual Assessment Report Guidance Notes
Exploration Permit Annual Assessment template - 79 Kb
Exploration Permit Annual Assessment template
Production Licence Annual Assessment Report Guidance Notes - 261 Kb
Production Licence Annual Assessment Guidance Notes
Production Licence Annual Assessment template - 106 Kb
Production Licence Annual Assessment template
Retention Lease Annual Assessment Report Guidance Notes - 266 Kb
Retention Lease Annual Assessment Report Guidance Notes
Retention Lease Annual Assessment template - 85 Kb
Retention Lease Annual Assessment template
Title Administration forms
Request for Search of Petroleum Title
Dealing and transfer
Instrument of Transfer PGERA 67 - 2 Mb
Form of Instrument of a Transfer of a Title under section 72
Dealing Summary PGERA67 - 187 Kb
Dealing Summary
Dealing Summary PPA69 - 2 Mb
Dealing Summary
Dealing Summary PSLA82 - 2 Mb
Dealing Summary
Instrument of Transfer PGERA 67 - 779 Kb
Form of Instrument of a Transfer of a Title under section 72 (word version)
Instrument of Transfer PPA 69 - 1 Mb
Form of Instrument of a Transfer of a Licence under section 44
Instrument of Transfer PPA 69 - 779 Kb
Form of Instrument of a Transfer of a Licence under section 44 (word version)
Instrument of Transfer PSLA 82 - 1 Mb
Form of Instrument of a Transfer of a Title under section 78
Instrument of Transfer PSLA 82 - 778 Kb
Form of Instrument of a Transfer of a Title under section 78 (word version)
Native Title deeds
If you require a copy of a State Deed template, that is not listed below, contact the Manager Resource Access.
Phone: + 61 8 9222 3357
State Deed - Determined Native Title Holders - 66 Kb
State Deed - Determined Native Title Holders
State Deed - Native Title Claimants - 60 Kb
State Deed - Native Title Claimants
Noongar Standard Heritage Agreement - Proponent Statutory Declaration - 32 Kb
Noongar Standard Heritage Agreement - Proponent Statutory Declaration (Word Version)
Esperance Nyungar ILUA Proponent Standard Heritage Agreement - 179 Kb
Esperance Nyungar ILUA Proponent Standard Heritage Agreement
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