Natural Disaster Relief Grant

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About You  >  Properties  >  Assistance Required  >  Payment Details  >  Supporting Documents  >  Declaration

>  About You
    Properties
    Payment Details
    Supporting Documents
    Declaration



Please read the Natural Disaster Relief Grant guidelines on the RAA Website before proceeding with this application.

If you are unsure of the event you have been affected by please visit https://www.raa.nsw.gov.au/disaster-assistance/declarations.

Please start by typing AGRN to select your event

Please start by typing your postcode to select your LGA

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Please ensure you download and save, or print, a copy of the program guidelines for future reference.
You must read the program guidelines before applying for this grant.


Additional information is required. You will be required to upload your 3 year Cashflow Budget and Business Plan on the Supporting Documents page.

Unfortunately you are not eligible for this grant program.

Unfortunately you are not eligible for this grant program.

Unfortunately you are not eligible for this grant program.

Unfortunately you are not eligible for this grant program.

Unfortunately you are not eligible for this grant program.

Unfortunately you are not eligible for this grant program.


About You  >  Properties   >  Assistance Required  >  Payment Details  >  Supporting Documents  >  Declaration

✓  About Youx
✓  Properties
>  Payment Details
    Supporting Documents
    Declaration




Details of person completing this form




Landline: +61298721111 / Mobile: +61417000000

Mobile: +61417000000

Please note the RAA may seek permission from the applicant to discuss this application with you.


About You  >  Properties  >  Assistance Required  >  Payment Details  >  Supporting Documents  >  Declaration

>  About You
    Properties
    Payment Details
    Supporting Documents
    Declaration





Numbers only, beginning with 2 (e.g. 2345678)


Include spaces, e.g: 12 312 312 312

Applicant details



DD/MM/YYYY

Landline: +61298721111 / Mobile: +61417000000

Mobile: +61417000000





Postal address

Start typing to search for your postal address


















Number only




About You  >  Properties   >  Assistance Required  >  Payment Details  >  Supporting Documents  >  Declaration

✓  About You
>  Properties
    Payment Details
    Supporting Documents
    Declaration


If required, you may add multiple properties by selecting "Yes" to the question “Add additional property” at the bottom of this page. Please add the property where you expect to spend the most funds first. You may add up to 3 properties.
Primary Property Details


Start typing to search




















as per rates notice

Start typing (e.g. Beef, Dairy) to see options



hectares (no decimal numbers)
Upload Council Rates Notice(s)

Please ensure file sizes are 2.5MB or less

Found on LLS Rates Notice

Please supply a Lease Agreement and the property owner's contact details. Please note that the owner of the property will be contacted by the RAA.

Property owner details



Landline: +61298721111 / Mobile: +61417000000
Lease agreement
Please upload a Lease Agreement for the property where you are Lessee.

Please ensure file sizes are 2.5MB or less

Property Details - 2


Start typing to search




















as per rates notice

Start typing (e.g. Beef, Dairy) to see options



hectares (no decimal numbers)
Upload Council Rates Notice(s)

Please ensure file sizes are 2.5MB or less

Found on LLS Rates Notice

Please supply a Lease Agreement and the property owner's contact details. Please note that the owner of the property will be contacted by the RAA.

Property owner details



Landline: +61298721111 / Mobile: +61417000000
Lease Agreement
Please upload a Lease Agreement for the property where you are Lessee.

Please ensure file sizes are 2.5MB or less

Property Details - 3


Start typing to search




















as per rates notice

Start typing (e.g. Beef, Dairy) to see options



hectares (no decimal numbers)
Upload Council Rates Notice(s)

Please ensure file sizes are 2.5MB or less

Found on LLS Rates Notice

Please supply a Lease Agreement and the property owner's contact details. Please note that the owner of the property will be contacted by the RAA.

Property owner details



Landline: +61298721111 / Mobile: +61417000000
Lease agreement
Please upload a Lease Agreement for the property where you are Lessee.

Please ensure file sizes are 2.5MB or less


  About You  >  Properties  >  Assistance Required  >  Payment Details  >  Supporting Documents  >  Declaration

✓  About You
>  Properties
    Payment Details
    Supporting Documents
    Declaration



Aquaculture Permit - Primary
If required, you may add multiple Aquaculture Permits by selecting "Yes" to the question “Would you like to add another Aquaculture Permit?” at the bottom of this page. Please add the Aquaculture Permit where you expect to spend the most funds first. You may add up to 3 Aquaculture Permits.



hectares (include all decimals)





Aquaculture Permit - 2



hectares (include all decimals)





Aquaculture Permit - 3



hectares (include all decimals)




Commercial Fishing Licence / Business Card



  About You  >  Properties  >  Assistance Required  >  Payment Details  >  Supporting Documents  >  Declaration

✓  About You
>  Properties
    Payment Details
    Supporting Documents
    Declaration


Details of damage
Primary assistance required: you may be planning to conduct a number of the activities listed below. Please choose the category where the most funds will be spent.


You will have the opportunity to upload evidence of damages later in the form.




$
Numbers only, no decimal

$
Insurance details






Landline: +61298721111 / Mobile: +61417000000





Please ensure file sizes are 2.5MB or less


 About You  >  Properties   >  Assistance Required   >  Payment Details  >  Supporting Documents  >  Declaration

✓  About Youx
✓  Properties
>  Payment Details
    Supporting Documents
    Declaration


Bank details






About You  >  Properties   >  Assistance Required   >  Payment Details  >  Supporting Documents  >  Declaration

✓  About You
✓  Properties
✓  Payment Details
>  Supporting Documents
    Declaration


Upload tax return
Please upload the below tax return and financial statements that are applicable:

  • The most recent year tax returns of the applying primary production enterprise, balance sheets and financial statements (including profit and loss statements, stock trading account and depreciation schedules).
  • The most recent year of individual tax returns of all members of the primary production enterprise
  • the most recent year of tax returns and financial statements for all related business entities the individual members of the primary production enterprise are involved in
Please black out, hide or remove any tax file numbers from these documents.


Please ensure file sizes are 2.5MB or less


Please note the RAA may seek permission from the applicant to discuss this application with their accountant.
Accountant details




Landline: +61298721111 / Mobile: +61417000000

Mobile: +61417000000

Photographs of damage

Please upload up to 5 photographs showing direct damage to the affected property.

All submitted photographs must not contain any explicit, graphic, or otherwise inappropriate content.

For examples of acceptable images to submit, please refer to the program information webpage for further information.


Supporting documentation
Please upload supporting documentation that evidence damages. This will assist us to assess your application and may include quotes or estimates for repair and replacements - please refer to the program webpage for further information.



Any comments about your application you would like the Assessment Officer to know
Cashflow Forecast Budget and Business Plan
Additional information is required. Please upload your 3 year Cashflow Budget and Business Plan.

If you do not have one, download this template - Cash Flow Statement Template.


Any comments about your application you would like the Assessment Officer to know


About You  >  Properties   >  Assistance Required   >  Payment Details  >  Supporting Documents  >  Declaration

✓  About You
✓  Properties
✓  Payment Details
✓  Supporting Documents
>  Declaration


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 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 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 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 in accordance with the scheme guidelines.
  5. I will be required to repay to the NSW Rural Assistance Authority (‘the Authority’) any overpayment I receive or any payment I receive that is not in accordance with the scheme.
  6. When asked for financial information, I may be required to provide my personal tax returns in addition to financial information for all business entities with which I have a formal interest including companies, partnerships, trusts, and self-managed super funds.
  7. The invoices claimed under this application have not been recovered through insurance or used to secure any other government funding and I have not been reimbursed for these invoices in the past.
  8. I authorise the Authority 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 Authority to do this.
  9. I authorise the Authority to share information provided in my application with other NSW or Commonwealth Government agencies for the purpose of coordinating the administration and assessment of related Government programs.
  10. The Authority may use and provide the information provided by me in relation to this application to a third party engaged by the Authority for the purposes of assessing the effectiveness of the scheme.
  11. Any assistance received under this scheme will be applied in accordance with the scheme guidelines and the Authority may conduct an audit or inspection or seek verification through official third parties as needed.
  12. The Authority can make relevant enquiries to ensure I receive my correct entitlement.
  13. I will seek independent financial advice to understand the taxation implications of assistance granted to me, if needed.
  14. Statistics will be collected and analysed in such a way as to protect my anonymity.
  15. The Authority will store, retain and dispose of the information provided by me in relation to this application in accordance with the State Records Act 1998.
  16. I agree to provide feedback in relation to this scheme.
  17. 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, in accordance with the Rural Assistance Act 1989 No97. I will provide evidence of these approvals and permits if asked.
  18. I/We understand that this application will automatically be considered for the maximum grant amount specified in the program guidelines and that I must provide valid tax invoices and proof of payment for eligible expenses to be able to claim payment under the application.



   
Thank you for completing the Natural Disaster Relief Grant application.