Engine and Emerging Industries Loan Claim Request


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Applicant details




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Section 2 of 3

Please note: Claims are paid exclusive of GST. Please take this into account when submitting a claim request.
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Invoice

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Supporting documentation
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Step 3 of 3

Terms and Conditions
General Statement *

Not providing the information requested in this application or providing false or misleading or incomplete information may impact on the ability of the NSW Assistance Authority (the Authority) to accurately assess your application. Failure to provide such information may result in the Authority refusing your application.

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 Rural Assistance Act 1989, authorises the NSW Rural Assistance Authority to collect the personal information provided in this application so that we can verify your identity, assess your eligibility for assistance and provide any assistance you are approved for. This may include your name, address, email, bank account and financial details. This information will be used to verify your claim.

We may use the information to assist us assess any future applications for assistance you make to the Authority.

You must provide this information, otherwise we are unable to process your application or provide any assistance to you.

We will not disclose information about you to any person except where required to fulfil the purpose for which you are providing the information, or where permitted by law. This may include disclosure to third parties for the purpose of auditing the performance and effectiveness of the scheme and to detect and investigate potential fraud.

If you would like to gain access to, or amend your personal information, or require more details about privacy please contact us by telephone on 1800 678 593 or by emailing us at rural.assist@raa.nsw.gov.au.
   
Thank you for your claim.