QEIIMC | Signage Application Form

Government of Western Australia
Queen Elizabeth II Medical Centre Trust

Streamlined application process for external signage at QEIIMC, ensuring compliance and coordination.

Last updated:

January 2024

Applicants Details

Name

Phone number

Head Tenant

Department / Organisation

Position

Basic Details

Brief Description

Provide a brief overview of what the signage will look like and its purpose.

Describe the intended signage

Total Number of Signs

Specify the total number of signs you are applying for.

Enter the number of signs

Detailed Information on Proposed Signage

Materials

Specify the materials to be used for the signage (e.g., metal, plastic, wood).

List materials to be used

Mounting Technique

Explain how the signage will be mounted or installed.

Describe the mounting technique

Colours

Detail the signage's colour scheme.

Specify the colour scheme

Dimensions

Provide the height, width, and depth of the signage.

Height

Width

Depth

Illumination Details

Indicate if the signage will be illuminated and describe the lighting method.

Describe any illumination

Signage Permanency

Clarify whether the signage is intended to be temporary or permanent.

Is the signage temporary or permanent?

Safety Concerns

Address any safety concerns related to the signage and how they will be mitigated.

Detail safety concerns and mitigation

Maintenance Plan

Describe the plan to maintain the signage in good condition.

Outline the maintenance plan

Existing Signage Removal

If applicable, describe how any existing signage will be removed before installing the new one.

Plan for removing existing signage

Signage Cost Estimate

Provide an approximate cost for producing and installing the signage.

Estimated cost of signage ($)

Completion Timeline

State the anticipated timeline from production to installation completion.

Expected completion timeline

Additional Comments

Provide any further details or comments relevant to the application.

Any additional information

Thank you! Your submission has been received!

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Published

25 January 2024

Important information

All external signage needs QEIIMC Board approval, with the Board convening monthly. Subsequent to board consent, an Application for Works (Minor/Major) with the QEIIMC Trust is required.

Trust contact details

Relevant Documents

Application for external signage

Applicants Details

Basic Details

Brief Description

Total Number of Signs

Detailed Information on Proposed Signage

Materials

Mounting Technique

Colours

Dimensions

Illumination Details

Signage Permanency

Safety Concerns

Maintenance Plan

Existing Signage Removal

Signage Cost Estimate

Completion Timeline

Additional Comments

Published

Important information

Trust contact details

Relevant Documents

Acknowledgement of Country