RAA Claim Request Form


Applicant Details   >   Claim Details   >   Bank Details   >   Declaration

>  Invoice Details
>  Bank Details
    Supporting Documents
    Declaration


Applicant Details




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For applicants who have applied for the Special Disaster Primary Producer Grant (up to a maximum of $75,000) and have been impacted by the severe weather and flooding in February & March 2021.

For applicants who have applied for the Special Disaster Primary Producer Grant (up to a maximum of $50,000) and have been impacted by the severe weather and flooding in November 2021.

for applicants who have applied for the Special Disaster Primary Producer Grant (up to a maximum of $50,000) and have been impacted by the flood & storm on the 11 January 2022 in Lithgow only.

For applicants who have applied for the Special Disaster Primary Producer Grant (up to a maximum of $50,000) and have been impacted by the severe weather and flooding from the 5 January 2021 in Southern NSW.

For applicants who have applied for the Special Disaster Primary Producer Grant (up to a maximum of $75,000) and have been impacted by the severe weather and flooding from the 22 February 2022.

For applicants who have applied for the for the Special Disaster Primary Producer Grant (up to a maximum of $75,000) and have been impacted by the severe weather and flooding from the 27 June 2022 onwards.


Applicant Details   >   Claim Details   >   Bank Details   >   Declaration

>  Invoice Details
>  Bank Details
    Supporting Documents
    Declaration


You can add multiple invoices by clicking the Add another invoice link at the bottom of the box.
Invoice

$

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Proof of Payment
Please upload proof of payment documents here. Proof of payment can consist of receipts, bank statements, internet banking payment receipts, etc.

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Applicant Details   >   Claim Details   >   Bank Details   >   Declaration

>  Invoice Details
>  Bank Details
    Supporting Documents
    Declaration


Bank Details





Applicant Details   >   Claim Details   >   Bank Details   >   Declaration

>  Invoice Details
>  Bank Details
    Supporting Documents
    Declaration


General Statement & Privacy
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
The information in this claim is provided voluntarily and is being collected by 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 claim to contractors engaged by the Authority or to either State or Commonwealth government agencies. We will supply you with details of those that we have disclosed information to, if you apply to us in writing.

Not providing the information requested in this claim or providing false or misleading or incomplete information may impact on the ability of the Authority to accurately assess your claim.

The Authority agrees to take all reasonable measures to ensure that the personal information collected by it 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.
   
Thank you for your claim.