Fee Waiver Request – Charitable/Not for Profit Organisations

About this Form

This form can be used by eligible not-for-profit groups and organisations to apply for a fee exemption in accordance with Council's Community Grants and Sponsorship Policy.

Eligibility

A recognised not-for-profit group or organisation that carries out one or more of the following activities:

provides services to the community such as social and age services, childcare or health services, charity services or services of a similar type
reinvests or applies revenue it receives predominately for public interest services or activities
principally provides social or sporting or recreational activities
Government Public School P&C fundraising activities
supports public events or information of an historical, cultural or community arts focus.

Fee Details

Please select the fee you are requesting to be waived *

Food Premises Inspection FeeEssential Services Administration FeeOther Health/Building/Planning Service

Please specify *

Licensing Details

Address of Premises *

Reference Number *

ABN *

Lookup

Entity Name

Entity Type

ABN Status

ACN

ABN Status Effective From

Applicant Details

Family Name *

Given Name *

Role within Business/Organisation *

Postal Address *

Mobile Number *

Other Phone Number

Email Address *

Eligibility Statement

Please state how you meet the Policy's eligibility criteria *

Privacy Notification

The personal information you provide on this form is necessary to enable Council staff to review your request. The personal information provided by you can be viewed by Council staff but not by members of the public.

Declaration

I certify that the details I have provided above are true and accurate. I undertake to keep Hornsby Shire Council informed of any changes. *

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