Registration of Interest
Registering your interest is one way of ensuring we have your correct contact details so we can email you when updated details about the program are available.
Have you applied previously for assistance from the NSW Rural Assistance Authority?
BP Number Update
Your BP number has changed and will now begin with the number 2.
Numbers only, beginning with 2 (e.g. 2545678)
Type of Business
Sports and Recreation Clubs
FORMULA BUSINESS NAME
for the ABN Lookup.
Include spaces, e.g: 12 312 312 312
Landline: +61298721111 / Mobile: +61417000000
Confirm Email Address
Email Confirm Msg
Primary property location.
Postcode / Local Government Area
as per rates notice
How were you impacted by the Storms and Floods (please select one)?
Loss of livestock
Pasture damage or silage
Infrastructure damage ie: sheds and equipment
Loss of income
Damage to roads
All of the above
Other (please describe in Additional Comment box)
Additional comments on how you have been impacted
What kind of assistance are you interested in?
Disaster Assistance Loans
Disaster Assistance Grants
Referral to the Rural Financial Counselling Service
Technical advice through Local Land Services or industry group
All of the above
What is the size of your property?
Less than 10 ha
What are you interested in hearing about?
Option 1 - RAA Newsletter
Option 2 - Drought Updates
Would you like a follow-up contact by a recovery officer regarding your situation?
When would you like to be contacted?
In 3 days
In 5 days
In a week
Would you like to receive updates, alerts and notifications from the NSW Rural Assistance Authority about other potential assistance and support that could be relevant to you?
The information in this form is provided by you voluntarily and is being collected by the Department/Authority for purposes related to the administration of assistance under which you have indicated interest, including the assessment of applicability and the effectiveness of the scheme. This may involve disclosing the information in this form to contractors engaged by the Department/Authority or to either State or Commonwealth government agencies.
Any additional comments you may have about the individual's situation.