Place name suggestion form

Required fields are marked with an asterisk (*).

You must attach the required documentation in support of your suggestion (e.g. suggested name, map, letter from local council, biography of person being commemorated, history/origin of name). You may upload up to 5 files (Word format or PDF preferred).
Declaration *

I understand that all information supplied on or with this form may be disclosed publicly in accordance with the Right to Information Act 2009 and the Information Privacy Act 2009.