Collection of Information Colac Otway Shire is committed to protecting your privacy. The personal information requested on this form is being collected by Colac Otway Shire for the purpose of applying for a Works Zone Parking Permit or and other related purpose. It will not be disclosed to any other external party without your consent, unless required or authorised by law. If the personal information is not collected, the application for a permit cannot proceed. If you wish to alter any of the personal information you have supplied to Colac Otway Shire, please contact Council via telephone on 5232 9400 or email inq@colacotway.vic.gov.au. Council’s Privacy Policy is available from our website: colacotway.vic.gov.au/Council-the-shire/Council-policies and all Council Customer Service Centres. Fees Apply Fees apply A fee of $56.00 per bay, per week applies. Your Details First Name Last Name Contact Person Company/Organisation Postal Address Best phone number to contact you on Email Application Details Start Date End Date Start Time End Time Number of Parking Bays required bays Location of Parking Bays to be used for Work Zone Parking Proceed to Payment Leave this field blank