Pensioner Concession Application form

Application for Council Pensioner Concession Rates Rebate

If joint owners occupy the property and are eligible for a pensioner concession, a separate form will need to be completed by each eligible owner to receive the maximum rebate, otherwise only a partial rebate may be granted.

Declaration and Consent

Consent

The information provided on this form is private and confidential and your 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 your Council’s Public Officer. The information contained or referred to in this application form may be corrected and updated by you, by contacting your Council.

Please read the conditions and tick box below to confirm your consent to your Council checking your concession eligibility with Centrelink 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 your Council.

I authorise:

  • Council 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 Council to determine if I qualify for a rebate.
  • Services Australia (the agency) to provide the results of that enquiry to Council.

I understand that:

The agency  will disclose personal information to Council including my name, address, payment type, payment status and concession card type and status to confirm my eligibility for a rebate.

  • this consent, once signed, remains valid while I am a customer of Council unless I withdraw it by contacting Council or the agency.
  • I can get proof of my circumstances/details from the agency and provide 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.

Additional Information

Your council will determine your eligibility to receive a rebate of up to $250 on your rates account. You may also be eligible to receive up to $87.50 on your annual water charges and up to $87.50 off your annual sewerage charges, if your council provides these services. Alternatively, if your council does not provide these services, contact your water/sewer service provider for more information.

Eligibility:

  • Holders of the PCC (Pensioner Concession Card);
  • Holders of a gold card embossed with ‘TPI’ (Totally Permanently Incapacitated);
  • Holders of a gold card embossed with ‘EDA’ (Extreme Disablement Adjustment);
  • 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.

Voluntary Rebate

Randwick Council voluntarily provides an additional rebate (totally funded by Council) for eligible pensioners.   The maximum amount of this voluntary rebate is $100 per annum.

Required fields are marked with an asterisk (*).

Concession Card Type *
Is this your sole/principal place of living *
Please provide the date including the day, month and year
Have you claimed a pensioner rebate for any other property in the last 12 months? *
Are you the sole owner of the property? *
If No, who else owns a share?
Declaration and Consent *

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