Dear
Thank you for your application.
| Applicant and property details | |
| Name/s (or business name) as it appears on the electricity account: | |
| Address (or business address) as it appears on the electricity account: | |
| Daytime telephone number: | |
| Email address: | |
| Is your property in a drought declared local government area (LGA) or is it a drought declared individual property (IDD)? : | |
| If you selected IDD you must provide a copy of the declaration provided to you by the Department of Agriculture and Fisheries (DAF).: | No Files Uploaded |
| If you selected LGA you must provide its name.: | |
| ABN: | |
| GST: | |
| Electricity account details | |
| Electricity retailer: | |
| Electricity account number: | |
| Upload a copy of your electricity bill.: | No File Uploaded |
| Upload a copy of a statutory declaration.: | No File Uploaded |
| Bank details | |
| Account name/s: | |
| Bank name: | |
| BSB: | |
| Account number: | |
| Declaration | |
| Declaration: | I agree |
| Terms and conditions: | I agree |
Dear
Thank you for your application for drought relief from electricity charges.
If we have any questions about your application we will contact you.
Kind regards,
Drought Assistance team
Department of Energy and Public Works.
If you have an enquiry about this assistance scheme please contact us on Energy.droughtrelief@epw.qld.gov.au or telephone the Drought Assistance team on 13 43 87.