Rural aid Australia

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Appeal

Name*

First Last

Email*

If you have a preferred water carter for your area, please list their contact details below. Rural Aid will use your preferred water carter where possible. Please note, due to the dry weather some local carters are experiencing high demand for their services.

Type of Farmer*

Other:*

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Type of Farmer

Other Livestock:*

Other:*

Phone*

PIC Number:

ABN Number*

Business Name*

(Do not enter any special characters like $/#@({[~!;<&*)

Property Address (Must be the address where the domestic water is being delivered to)*

Street or Road Name Suburb / Town State Postcode

Primary Producer Declaration*

Drop files here or

Max. file size: 100 MB.

Examples for acceptable Primary Producer Declaration document include:
A current Government Vehicle Registration notice in the applicant’s name showing the usage of the vehicle is for Primary Production or Produce Carrying.

OR

A current Australian Tax Notice of Assessment in the applicant’s name showing on the first or second page the term Primary Production averaging income.

OR

A letter from your accountant, which is on their letterhead with their contact details and is signed and dated within the last twelve (12) months. The letter must include your name or applicant’s business name, ABN and address in which you undertake your Primary Production business.

OR

If your accountant is using a Declaration of Eligibility for a Registration concession form or any other form, please ensure that it has you and your accountant’s signature, both dated within the last twelve (12) months