State Government Pensioner Rates Remission

Applicant’s given names *

Applicant’s surname *

Contact phone no.

Email Address

Applicant's property address *

Property ID Number (PID)Your Property ID can be found on your rates notice in the Property Valuation Detail section.

Are you the owner of the above property? *

YesNo

Was this property your principal place of residence on 1 July *

YesNo

As at 1 July did you possess a Concession Card? *

YesNo

Card Start Date *The Card Start Date appears on the front of your concession card

What type of concession card do you have? *

PCC (Pensioner Concession Card)HCC (Health Care Card)DVA (Department of Veterans’ Affairs ‘Gold Card’ endorsed with TPI or War Widow/Widower)

Concession Card Number *

Please provide a copy of your concession (if possible)

Browse

Accepted file types: jpg, jpeg, png, pdf, tiff, heic, heif. Max. file size: 10 MB.

Have you received a remission on any other property for this financial year?

YesNo

Do you receive mains water and/or sewerage (TasWater Account)?

YesNo

Do you have any dog/s registered with council?

YesNo

Authorisation and Consent

I authorise:

The Huon Valley Council and the Department of Treasury and Finance (Treasury) to use Centrelink Confirmation eServices to perform a Centrelink/DVA enquiry of my Centrelink or Department of Veterans’ Affairs customer details and concession card status to enable the Council and Treasury to determine if I qualify for a concession, rebate or service.

Services Australia (the agency) to provide the results of that enquiry to the Council and Treasury.

I understand that:

The agency will disclose personal information to the Council and Treasury including my name/address/payment type/payment status and concession card type and status to confirm my eligibility for a rates remission;

This consent, once signed, remains valid while I am a customer of Council unless I withdraw it by contacting the Council or the agency. I can get proof of my circumstances/details from the agency and provide it to Council and Treasury so my eligibility for a rates remission 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 rates remission provided by the Council and Treasury.

In making this application:

I confirm that the electronic signature in this consent represents my signature *

I consent to signing the form electronically and I confirm that my signature is legally binding *

Name of Signatory *

Current date *

For security please complete the check below *