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Apply for Financial Hardship Residential
Ratepayer Details
Assessment number
This can be found on your rates notice.
Property address
Name of Ratepayer(s)
Postal address
Mobile phone
Email
I am the
Owner / Occupier
Owner / Landlord
Financial Counsellor
Application
What is the cause of financial hardship? (eg. unemployment, illness)
Proposed payment frequency
Weekly
Fortnightly
Monthly
Proposed payment amount
Expected date of payment
This arrangement is subject to approval by Council. Upon approval confirmation will be provided.
I am aware that this arrangement is valid for the current financial year only and a new arrangement will need to be negotiated outside of this timeframe
In the event that a payment arrangement is not maintained within the agreed terms, the ratepayer must initiate contact with Council immediately to make a revised arrangement.
Failure to adhere to this arrangement may result in an escalation of recovery action without further notice.
Supporting Evidence
Residential Owner - Occupied Properties
Separation Certificate from your former employer
Letter from Centrelink
Any other relevant supporting documentation (e.g. Financial Counsellor proposal)
Evidence must be uploaded to support your application.
Please attach supporting evidence
Maximum 5 files.
5 MB limit.
Allowed types: jpg, jpeg, webp, png, heif, heics, pdf, doc, docx, xls, xlsx.
Note: we may contact you if we require further supporting evidence or information.
Declaration
I declare the information I have provided on this form is, to the best of my knowledge, true and correct and I understand that it is my duty to notify Council should my circumstances (for which this application is sought) change.
Privacy
The City of Palmerston complies with the information Privacy Principles contained in the Information Act (NT). These principles protect the privacy of personal information collected and held by Council. Council’s privacy statement is available from the City of Palmerston, Civic Plaza, 1 Chung Wah Terrace, or via our website on www.palmerston.nt.gov.au.
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Your Services
Fees and charges
Forms and Permits - find a form A-Z
Waste management
Bin collections
Recycling
Recycling guide
Archer Waste Management Facility
Pets and animals
Pet registration and licencing
Reporting nuisance dogs and attacks
Council pound
Animal Management By-Laws
Cat trap hire
Other animals and pets
Rates
Payment methods
Calculate my rates
Frequently asked questions
Pay online
Reporting issues
Hire a venue or equipment
Emergency dashboard
Abandoned vehicles
Your property
Maintaining your property and verge
Free Tree program
Driveway assistance program
Download our app
Your Community
Works and upgrades
Roads, paths and lights
Tree maintenance
Prescribed burns
Environment
Home composting rebate
Our renewable energy tally
Nature reserves and waterways
Cyclone and storms
Major projects
FiberSense technology
Zuccoli Community Hub
Archer Waste Management Facility (AWMF) Upgrade
Completed Projects
Where We Live Matters
SWELL Construction
Hobart Park Ninja Obstacle Park
Municipal Boundary Review
Gray Community Hall Redevelopment
Marlow Lagoon Dog Park Improvements
Gulwa Recording Studio
Smart Cities
Making the Switch
Liveable Cities
It's Always Brighter!
Electronic Speed Limit Signs
Developing your city
Arts and culture
Artist opportunities
Public Art Commission - Civic Plaza Foyer
Public Art Commission - Library Bulkhead
Events and activities
Palmerston Youth Festival
Library
Library eresources
Library programs
Library services
Join the library
Community Programs
Art Jam
Hooked On Palmerston
Register today
Submit your catch
2024 winners
Citizenship ceremonies
Commmunity Networks
The Palmerston Kids Network
Palmerston and Rural Youth Services (PARYS) Network
Palmerston's Seniors network
Places and spaces
Living in Palmerston
Community safety
News
Our Newsletter
Your Opportunities
Community Funding Program
Invest Palmerston
Tenders
Current opportunities
Awarded opportunities
Careers
Expressions of Interest
Community Engagement
Promote your cause
Pop up dining
Palmerston Australia Day Awards
Your Council
Elected Members
Council Meetings
Local Elections
City of Palmerston organisation
Policies/By-laws
Publications
Committees
Administrative Review Committee
Palmerston Community Wellbeing Advisory
Palmerston Community Safety Advisory Committee
Palmerston Vibrant Economy Advisory Committee
Reconciliation Action Plan Working Group
Risk Management and Audit Committee
Chief Executive Officer Performance Appraisal Committee
Registers
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