Who needs it
Facilities asking the RC for an exemption.RCER-2025 Vol. II, Form PA-M4, page M4-1
What the form covers
- Non-compliance issues, for existing facilities only: the regulation or standard not met, the extent, the BAT analysis and the compliance plan
- Exemptions requested: whether previously exempted, measures taken, the reason (technical, hazardous or safety, financial, or other), the justification and the final compliance date
SourceRCER-2025 Vol. II, Form PA-M4, page M4-1
Before you submit
- Answer every question. Where one does not apply, write “None” or “NA”.RCER-2025 Vol. II, Section 2.1(b) to (e) (page 8)
- Put the forms in the order of Figure 2.RCER-2025 Vol. II, Section 2, Figure 2 (page 10)
- An authorised representative of the facility signs and stamps the Statement of Certification.RCER-2025 Vol. II, Section 2.1(b) to (e) (page 8)
- Submit the application in electronic and printed form, with the printed copy signed.RCER-2025 Vol. II, Section 2.1(b) to (e) (page 8)
- Drawings go in as A3 hard copies and as PDF files.RCER-2025 Vol. II, Section 1.3.1 (page 3)
Getting the official form
The Royal Commission provides the electronic copy of the forms. This page explains the form. The RC's version is the one to fill in and submit.RCER-2025 Vol. II, Section 2.1(b) to (e) (page 8)
This page summarises the form as published in RCER-2025, Volume II. It is general information, not legal advice. The Royal Commission's official form and regulations always prevail. Spotted something out of date? Request a change.