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Resident support

Financial Difficulties Application

Required fields are marked with an asterisk (*).
Property Address
Property details
Postal Address
Is your postal address different from above? *
Details
This is found on your rates notices, beginning with a upper case A.
Do you hold a Government Concession Card? *
Are you currently employed? *
What type of assistance are you seeking from Council (more than one can be selected)? *

Further financial information

Council will consider your application on the basis of Financial Difficulties, Compassionate Grounds or any other unexpected event that may have occurred eg. hospitalisation or unexpected and prolonged absence.

Further financial information
Have you contacted the Financial Counselling Helpline ph: 1800 007 007, or any other service for advice and/or assistance? *
Max files: 3. Please upload in a PDF or PNG format.
If required, do you give permission for Council to contact your financial counsellor to negotiate a suitable payment arrangement and to discuss your circumstances? *

PLEASE NOTE: Upon review of this request, Council will contact the applicant.

Privacy Collection Notice

The personal information requested on this form is being collected by the Wakefield Regional Council for the purpose of assessing individual financial difficulties and assistance. It will not be disclosed to any external party without  your consent. You may apply to alter any of the personal information you have provided to the Wakefield Regional Council.

By submitting this application, you are declaring that the above information is true and correct.

Confirmation & Privacy
Date *
OFFICE USE ONLY - Applicants please ignore and submit