Pensioner Concession Application form Application for Council Pensioner Concession Rates RebateIf 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. Voluntary RebateRandwick Council voluntarily provides an additional rebate (totally funded by Council) for eligible pensioners. The maximum amount of this voluntary rebate is $100 per annum. Additional InformationCouncil will determine your eligibility to receive a pensioner concession of up to $250 off your annual rates and/or charges. 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 Council provides these services. Alternatively, if 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);Holders of cards other than those listed above are not eligible for the concession.* If you are a War Widow or Widower or Wholly Dependent Partner and do not have a Pensioner Concession Card, you could contact the DVA to test your eligibility for the DVA Income Support Supplement which attracts a PCC. Eligibility is subject to an income and assets test. For assistance from the DVA call 1800 VETERAN (1800 838 372). Required fields are marked with an asterisk (*).Account Number * Name * Concession Card Type * Centrelink DVA Concession Card Number * Date of Grant of Concession Card Number * Phone * Email * Property Address * Is this your sole/principal place of living * Yes No When did you move into the property * 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? * Yes No If Yes, please provide the address of the other property Are you the sole owner of the property? * Yes No If No, who else owns a share? Spouse Other - see questions below If more than one other co-owner, list the Name of each co-owner Relationship to me (e.g. father, brother, sister, co-owner, etc.) Percentage share of ownership for each co-owner Declaration * I declare that the information provided in this form is true and correct and that I am the person making this application. I understand that providing information that is false or misleading is an offence, the maximum penalty for which is 200 penalty units or 2 years imprisonment or both. Consent * Please select one of the following tick boxes: Yes, I have read and understand the consent information and give my authorisation. No, I do not agree to the consent information and do not give my authorisation. Instead, I will provide a Proof of Concession Eligibility Letter from Centrelink or DVA. I confirm that the electronic signature in the consent form represents my signature. I consent to signing the form electronically and I confirm that my signature is legally binding. * Consent InformationConsent to obtain evidence to assess your application for a pensioner concessionTo assist Randwick City Council with assessing your eligibility for a pensioner concession, it seeks your consent to use Centrelink Confirmation eServices to perform a Centrelink and/or Department of Veterans’ Affairs (DVA) enquiry, and obtain its results, regarding your Centrelink or DVA customer details and concession card status. Your details may be checked regularly, to confirm ongoing eligibility.At any time, you have a right to withdraw your consent by contacting Randwick City Council or Services Australia.Please read the following and then select a tick box above regarding your consent.Randwick City Council to use Centrelink Confirmation eServices to perform a Centrelink/DVA enquiry of my Centrelink or DVA customer details and concession card status to enable Randwick City Council to determine if I qualify for a pensioner concession.Services Australia to provide the results of that enquiry to Randwick City Council.I understand that:Services Australia will disclose personal information to Randwick City Council including my name, address and concession card status to confirm my eligibility for a pensioner concession.If I withdraw my consent or do not alternatively provide proof of my circumstances or details, I may not be eligible for the pensioner concession provided by Randwick City Council.Randwick City Council will disclose my personal information received from the result of the Centrelink/DVA enquiry to the Audit Office of New South Wales for the purposes of auditing/assurance.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. Privacy noticeWhen you submit this form, the information you provide on it is being collected and held by Randwick City Council (Council), 30 Frances St, Randwick, to assess your eligibility to receive a pensioner concession regarding the payment of charges and/or rates under the Local Government Act 1993 (NSW) (LG Act) and associated regulations.The information provided on this form is private and confidential. Council will not disclose the information to any person or body if it is not directly related to the purpose for which the information was collected, unless disclosure is required under a relevant law. The supply of your information is voluntary, but if you choose not to provide information requested on this form and/or evidence that you meet the definition of an ‘eligible pensioner’ under the LG Act and associated regulations (see below), it may affect the outcome of your application for a pensioner concession.If you would like more information on privacy, wish to correct or update your personal information provided, or have a complaint about the use of your personal information, contact Council’s Public Officer. Last Updated: 16 September 2026 Back to top
