NSW Low Income Household Rebate Application Form
This application form is intended for eligible households in on-supplied residential communities, retirement villages, or strata schemes. The rebate assists with energy bill costs, providing eligible residents with a payment of $313.50. Ensure to follow the eligibility criteria and include required documentation to apply successfully.
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How do I fill this out?
Filling out this form requires careful attention to detail. Begin by ensuring you have all necessary documents and information to complete each section accurately. Follow the guidelines laid out in the form to avoid any delays in your application process.

How to fill out the NSW Low Income Household Rebate Application Form?
1
Gather necessary documents including your electricity bill and personal identification.
2
Fill out your personal details accurately, ensuring they match your electricity bill.
3
Provide your bank account details for direct deposit.
4
Sign the form where indicated.
5
Submit the completed application by the specified method.
Who needs the NSW Low Income Household Rebate Application Form?
1
Low-income households in NSW need this form to apply for financial support.
2
New residents in retirement villages may require the rebate to assist with energy bills.
3
Individuals with a Pensioner Concession Card use this form to claim their rebate.
4
Residents of strata schemes can utilize this application to receive financial relief on energy expenses.
5
Eligible families who face rising electricity costs need this rebate to manage their bills efficiently.
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What are the instructions for submitting this form?
To submit your application, complete the form with all required information and documentation. Subsequently, you can submit it online via the Service NSW platform or send it via mail to the Department of Planning, Industry and Environment at 4 Parramatta Square, 12 Darcy Street, Parramatta NSW 2150. For inquiries, you may contact the Energy NSW Energy Rebates Team at 02 8073 9255.
What are the important dates for this form in 2024 and 2025?
For the 2024 financial year, applications can be submitted from 1 July 2023 to 30 June 2024. Make sure to submit your application before the 30 June deadline to be considered for the rebate. The process follows the same timeline annually.

What is the purpose of this form?
The purpose of this form is to enable eligible households in NSW to apply for the Low Income Household Rebate. This rebate assists with the rising costs of energy bills, helping to ease financial strain for low-income residents. By providing a structured application process, the form ensures that those in need can access the support available to them.

Tell me about this form and its components and fields line-by-line.

- 1. CRN (Services Australia): Your Customer Reference Number issued by Services Australia.
- 2. DVA number: Your Department of Veterans' Affairs number.
- 3. First name: The applicant's first name.
- 4. Last name: The applicant's last name.
- 5. Community/village name or strata plan number: Name of your community or village.
- 6. Site/unit number: Your specific unit or site number.
- 7. Street address: Your residential street address.
- 8. Suburb: The suburb of your residence.
- 9. Postcode: Postal code of your area.
- 10. Contact phone number: A phone number to reach the applicant.
- 11. Email address: Email for communication.
- 12. Postal address (if different from above): Alternative mailing address, if necessary.
- 13. Bank name: The name of your bank.
- 14. Account name: Name on the bank account for payment.
- 15. BSB number: Bank State Branch number for your bank.
- 16. Account number: The specific account number for your bank.
What happens if I fail to submit this form?
Failing to submit this form correctly may result in delays or denial of your rebate application. It is vital to ensure all required fields are completed accurately and that all necessary documentation is attached. Incomplete submissions often lead to additional processing time and could mean missing out on important financial support.
- Incomplete Application: Any missing information can lead to rejection of your application.
- Missing Documentation: Not including the required electricity bill can result in delays.
- Incorrect Personal Details: Discrepancies between the application and your bill may hinder processing.
- Late Submission: Submission after the deadline will not be accepted.
- Filing Under Power of Attorney: Missing certified power of attorney documents can lead to rejection.
How do I know when to use this form?

- 1. Claim for Rebate: To apply for the energy rebate available to eligible low-income households.
- 2. Documentation for Energy Costs: To provide evidence of electricity usage and expenses.
- 3. Annual Renewal Application: To renew your eligibility for the rebate each financial year.
- 4. Power of Attorney Applications: Utilized by representatives to claim rebates on behalf of others.
- 5. Accessing Government Assistance: To secure financial help from the NSW government for energy bills.
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