Application for the NSW Government’s Family Energy Rebate Authorisation and Declaration
- I confirm all particulars provided on this application form are to the best of my knowledge true and correct.
I authorise:
-
the Department of Planning, Industry and Environment (the Department) to use Centrelink Confirmation eServices to
perform a Centrelink enquiry of my Centrelink customer details and concession card status to enable the Department
to determine if I qualify for a concession, rebate or service.
- DHS to provide the results of that enquiry to the Department.
I understand that:
- it is my responsibility to notify the Department of any changes to this information.
- DHS will use information I have provided to the Department to confirm my eligibility for NSW energy rebates and will
disclose to the Department personal information including my name/address/payment type/payment status and
concession card type and status.
- this consent, once signed, remains valid while I am a customer of the Department unless I withdraw it by contacting the
Department or the DHS.
- I can get proof of my circumstances/details from the DHS and provide it to the Department so my eligibility for NSW
energy rebates can be determined.
- if I withdraw my consent or alternatively do not provide proof of my circumstances/details, I may not be eligible for the
NSW energy rebate provided by the Department.
ELIGIBILITY CRITERIA
To be eligible for the Family Energy Rebate in a given financial year the applicant must:
- be a resident in New South Wales; AND
- be an account holder of an electricity retailer, or a long term resident of an on-supplied residential community, or a
resident of an on-supplied retirement village, or a resident of an on-supplied strata scheme; and whose name
appears on the electricity account for supply to his or her principal place of residence; AND
- have been assessed by the Australian Government Department of Human Services (DHS) as being eligible for the
Family Tax Benefit (FTB) A or B for the previous financial year and have received a payment of FTB in respect of
that eligibility; AND
- have reconciled your taxes with DHS for 2018/19.
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