Application for Council Pensioner Concession Rates Rebate

About this Form

Under the Local Government Act 1993, eligible pensioners are entitled to receive a concession on rates and charges with approval being subject to legislative requirements which allows Council to grant a rebate of up to $290 on the rates account. The applicant must be the listed on the Certificate of Title as the owner of the property according to the registration details held by the NSW Land Registry Service and must reside at the property as their sole or principal place of residence.

NOTES TO APPLICANT

The rebate amount granted will be proportionate to the percentage of ownership and to the date from which the applicant became eligible.
Applicants who become an eligible pensioner during the financial year will receive a rebate proportionate to the number of full quarters in which the applicant became an eligible pensioner.
Once granted, the rebate will automatically be applied each financial year provided the applicant remains eligible for a Pensioner Concession Card (PCC) and continues to meet the eligibility requirements.
If a copy of the eligible PCC or eligible Concession Card is not submitted with the application, the application cannot be approved, and the rebate will not be granted.

ELIGIBILITY REQUIREMENTS

The applicant must be the listed on the Certificate of Title as the owner of the property according to the registration details held by the NSW Land Registry Service.
The applicant must reside at the property as their sole or principal place of residence.
The applicant must be the holder of
- a PCC (Pensioner Concession Card); or
- holder of a gold card embossed with ‘TPI’ (Totally Permanently Incapacitated); or
- holder of a gold card embossed with ‘EDA’ (Extreme Disablement Adjustment); or
- War widow or widower or wholly dependent partner entitled to the Pensioner Concession Card.*

* If you are a war widow or widower or wholly dependent partner but do not have a Pensioner Concession Card, you should contact the Department of Veterans’ Affairs (DVA) to test your eligibility for the DVA income support supplement. Eligibility is subject to an income and assets test. Holders of cards other than those listed above are not eligible for the concession. For assistance from the DVA call 133 254.

CONDITIONS OF AGREEMENT

If joint owners are in receipt of a pensioner concession, a separate form must be completed by each owner to receive the maximum rebate or the rebate amount granted will be proportionate to thepercentage of ownership for the eligible pensioner for whom the application has been submitted.
The applicant must notify Council if;
- there is a change in the ownership of the property through sale or Estate,
- the applicant should leave the property but retain ownership, (e.g. move to a nursing home or other accommodation),
- the applicant becomes ineligible for a pensioner concession.
The applicant consent must be signed by the applicant or the application cannot be processed and the rebate will not be applied.
Upon application, a rebate will be considered only for the current and previous financial year relevant to the start date of the Pensioner Concession Card and the time of residence at the property.
At the end of each financial year, Council confirms all pensioners' eligibility with Centrelink. If eligibility is not confirmed, Council will not grant the rebate on the rates account for the new financial year and a new application will be required.

The applicant must provide a photocopy of both sides of the PCC or eligible Concession Card.

PROPERTY ADDRESS

Rates Account Number *

Address *

Suburb *

Post Code *

When did you move into the property? *

Is this your sole Principal place of living? *

APPLICANT DETAILS

First Name *

Last Name *

Email Address *

Phone (mobile preferred) *

CONCESSION CARD DETAILS

Concession Card Type *

Concession Card Number *

Date of grant of Concession Card *

Attach a copy of the Pensioner Concession Card (both sides) *

Browse

PENSION REBATE HISTORY

Have you claimed a pensioner rebate for any other property in the last 12 months? *

If Yes, please provide address of other property

OWNER DETAILS

Are you the sole owner of the property? *

If No, who else owns a share?

OTHER OWNER DETAILS - Please list the name of each co-owner and their relationship to you

Other owner's name

Relationship (e.g. spouse, parent, sibling etc.)

APPLICANT DECLARATION *

The information contained in this application form and any information requested for the purpose of assessing eligibility for a pensioner concession is required under the Local Government Act 1993 and the Local Government (General) Regulation 2021.By submitting this form, you declare that the information provided is true and correct and that you are the person making this application. If you make a false statement in an application, you may be guilty of an offence and fined up to $2,220.

CONSENT

The information provided on this form is private and confidential and Council must not disclose the information to any person or body, if it is not directly related to the purpose for which the information was collected. If you have a complaint about the use of your personal information, contact Council’s Public Officer. The information contained or referred to in this application form may be corrected and updated by you, by contacting Council. Please read the conditions and sign below to confirm your consent to Council checking your concession eligibility with Services Australia or the Department of Veterans Affairs. Your details may be checked regularly, to confirm ongoing eligibility. At any time, you have right to withdraw your consent by contacting Council.

I authorise:

Council to use Services Australia Confirmation eServices to perform a Centrelink/DVAenquiry of your Centrelink or DVA customer details and concession card status toenable Council to determine if I qualify for a rebate.
Services Australia will provide the results of that enquiry to Council.

I understand that:

Confirmation eServices will disclose personal information to Council including myname, address, payment type, payment status and concession card type and status toconfirm my eligibility for a rebate.
This consent, once signed, remains valid while I am a customer of Council unless Iwithdraw it by contacting Council or the department. I can get proof of mycircumstances/details from Services Australia/Department of Veteran Affairs andprovide it to Council so my eligibility for a rebate can be determined.
If I withdraw my consent or do not alternatively provide proof of my circumstances/details, I may not be eligible for the rebate provided by Council.

I have read and accepted the above consent *

APPLICANT SIGNATURE *

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Date *

Privacy Statement:

In submitting this form, you consent to Council:

1. collecting your personal information as contained in the form; and

2. using the information for the purposes outlined in the form and for any other Council function.

Providing your information is voluntary. Should you choose not to provide the information, Council is unable to process your application/request.

You may access any of your personal information that Council holds upon request.