Natural Disaster Donated Fodder
Transport Subsidy

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raa_home  About You  >  Your Claim  >  Payment Details  >  Declaration

>  About You
    Your Claim
    Supporting Documents
    Payment Details
    Declaration


NOTE: Drought is not considered a Natural Disaster.  


Submit all claim forms with certified copies of invoices. Initial claims MUST be submitted no more than 6 months after the first movement with the first movement to take place during the first 3 months of a Natural Disaster declaration.




BP Number Update

Your BP number has changed and will now begin with the number 2.
(e.g. 2545678)


Numbers only, beginning with 2 (e.g. 2545678)





Include spaces, e.g: 12 312 312 312

Include spaces, e.g: 312 312 312

Contact Person




DD/MM/YYYY

Landline: +61298721111 / Mobile: +61417000000

Mobile: +61417000000


Contact Person





Landline: +61298721111 / Mobile: +61417000000

Mobile: +61417000000

Delivery/Central Location Address in NSW


Number only





as per rates notice

Postal Address


Number only






raa_home  About You  >  Your Claim  >  Payment Details  >  Declaration

✓  About You
>  Your Claim
    Supporting Documents
    Payment Details
    Declaration


Please select a declared event for which you would like to claim invoices against.


Primary Movement Type

Please select the primary expense and the amount you expect to spend.

Claiming



When completing the movement sheet below, please make sure to fill in the applicable GST fields.
Please complete movement sheet

Please download and complete the Movement sheet template and attach in the below field - Movement Sheet Template Link


The expected amount should equal the total amount from your movement sheet.

Please enter a number without commas or spaces.
Reason for Claiming

      
Address of property where stock are being collected from
Fodder Collection Address
Address of Property where stock were/are being collected from
Water Collection Address


























For hired carrier or rail movements (where private vehicle is used insert PV)


raa_home  About You  >  Your Claim  >  Supporting Documents  >  Payment Details  >  Declaration

✓  About You
✓  Your Claim
>  Supporting Documents
    Payment Details
    Declaration


NOTE: THIS PAGE IS HIDDEN


Please ensure file sizes are 2.5MB or less
Upload Tax Invoices

Please ensure file sizes are 2.5MB or less

Additional documents for Owner Carriers Only

If owner carrier, please upload copy of your log book entries. Please ensure file sizes are 2.5MB or less

If owner carrier, please upload copy of your registration papers. Please ensure file sizes are 2.5MB or less

If owner carrier, please upload copy of your travelling stock statements. Please ensure file sizes are 2.5MB or less
Supporting Documentation
Please upload any other relevant documentation/information


raa_home  About You  >  Your Claim  >  Payment Details  >  Declaration

✓  About You
✓  Your Claim
✓  Supporting Documents
>  Payment Details
    Declaration


Bank Details





raa_home  About You  >  Your Claim  >  Payment Details  >  Declaration

✓  About You
✓  Your Claim
✓  Supporting Documents
✓  Payment Details
>  Declaration


General Statement
Any person who knowingly and with intent to defraud the Authority or another person, files an application for assistance containing any materially false information, or conceals for the purpose of misleading information concerning any fact material thereto, commits a fraudulent act, which is a crime under the Crimes Act 1900 and subjects the person to criminal penalties.

Privacy Collection Notice *
The information in this application is provided voluntarily and is being collected by the NSW Rural Assistance Authority (‘the Authority) for purposes related to the administration of the scheme of assistance under which you have applied, including the assessment of the effectiveness of the scheme. This may involve disclosing the information in this application to a third party engaged by the Authority or to either State or Commonwealth government agencies. The Authority will supply you with details of those parties that the Authority has disclosed information to if you apply to the Authority in writing. Information regarding this application may also be discussed and exchanged by the Authority with the authorised nominated contact persons listed by you as part of your application.

The Authority agrees to take all reasonable measures to ensure that the personal information collected by the Authority is stored securely.

You may access or correct your personal information by contacting the Authority by telephone on 1800 678 593 (toll free) or by writing to: Manager Administration, NSW Rural Assistance Authority, Locked Bag 23, ORANGE, NSW, 2800. Calls to "1800" numbers from your home phone are free. Calls from public phones and mobiles may be timed and attract charges.

Your Statement*

I understand and declare that:

1.  I have read, understood and I will comply with the scheme guidelines.

2.  The information I have provided in this application is true and correct.

3.  If I am applying on behalf of a partnership, trust or corporation, I have the authority to make this application on its behalf.

4.  The business meets the criteria for an eligible business for the scheme. 

5.  When asked for financial information, I must provide my personal tax returns in addition to financial information for all business entities with which I have a formal interest including companies, partnerships and self-managed super funds.

6.  The invoices for this application have not been used to secure any other NSW government funding. (i.e. I have not been reimbursed for these invoices in the past).

7.  I will be required to repay any overpayment I receive.

8.  I authorise RAA to discuss this application with relevant private/public authorities, financial lending institutions and accountants, including my nominated financial counsellor/advisor. If required, I will provide documents from the relevant authority to permit the RAA to do this.

9.  Any assistance received under this scheme will be applied in accordance with the scheme guidelines and the RAA may conduct an audit or inspection to ensure I have complied.

10.  I have obtained/will obtain all required work approvals and permits prior to commencing work, and I understand the need for any development to be ecologically sustainable.

11.  I will provide feedback in relation to this scheme if requested.

12.  Any statistics collected and analysed will be done in such a way to protect my anonymity.

Please check "I agree" above in order to submit your application
   
Thank you for completing the Natural Disaster Transport of Donated Fodder application