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COVID-19 Financial Assistance Application
You are here:
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COVID-19 Financial Assistance Application
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Report Web Fault
Required fields are marked with an asterisk (
*
).
Contact Details
Ratepayer Name
*
First & Last Name
Assessment Number/s
*
Located top right hand side of your rates notice
Residential Address
*
Phone Number
*
Email Address
Are you unemployed or underemployed due to COVID-19? I.e. loss of job, if so please explain how this has occurred and supply supporting documentation, i.e. letter from your employer.
Supporting Documentation
Has your business failed or is in hardship due to COVID-19? I.e. business is no longer operating or operation is limited, if so please explain how this has occurred.
Supporting Documentation
Are you suffering hardship due to COVID-19 for another reason? If so, please explain how this has occurred and supply supporting documentation.
Supporting Documentation
Are you eligible for a Government Funding Stimulus Package? If so, please confirm what date you applied and what support have or will be receiving.
*
Are you eligible for a Government Income Support Benefit after 1 March 2020? If so, please confirm what date you applied and what support you have or will be receiving.
*
Are you willing to enter into a payment arrangement?
*
If you answer yes to this question you will be contacted directly by Council staff
Yes
No
If you answered yes to the above question please select what type of payment arrangement would suit your current circumstances.
Monthly
Fortnightly
Weekly
Are you seeking to defer all payments until 21 October 2020?
*
Yes
No
TERMS
CONDITIONS
By selecting the 'submit' button you agree that should Council provide assistance under the COVID-19 Financial Assistance Application, the applicant (ratepayer) acknowledges that the assistance will cease if the applicant (ratepayer) fails to meet (defaults) on the agreed terms and that fines and interest may be reapplied.
