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| Checklist |
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Please make sure you have all you need before you begin as the form can not be saved partially complete.
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| Have you applied previously for assistance from the NSW Rural Assistance Authority? |
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| Does this claim relate to an activity where you have previously sought pre-approval from the RAA? |
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This form is to be completed ONLY if you have finished the course and are ready to make your claim. Please ensure you have the following ready before you commence as you will be unable to partially complete.
Do you have ready
- Confirmation you have completed the course (certificate or attendance record)
- Evidence of costs incurred to attend training (receipts)
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| 1. About you |
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| How would you like to receive future correspondence from the RAA? (please tick)
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Property Address
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| Is this address different to your postal address?
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Postal Address
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About your primary production enterprise
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Do you earn more than 50% of your gross income from the farm? NOTE: If ‘No’ you are ineligible to apply for this grant |
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To assist us in better understanding the users of the Farm Business Skills program we would like you to answer the following questions
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| Is your average gross farm income
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| Are you undertaking training other than that supported by the Farm Business Skills Program?
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| 2. About the professional development course |
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| Did the course relate to
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| Bank Account Details |
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| Supporting Documentation |
For your request to be processed without delay please:
Scan documents as PDF format at 300 dpi, black and white, if available (PDF Help Link)
Review scanned documents and ensure that the scanned copy is clear and easy to read
Set camera or scanner to low resolution to prevent unnecessarily large files
Name files appropriately
Total file size cannot be larger than 25MB - Total file size means the combined total of all of your attachments not the size of each individual attachment.
Any attachment larger than the limit should be emailed to the Authority at rural.assist@raa.nsw.gov.au clearly showing your name and the course completed.
Please note: supporting documents will only upload after you ‘submit’ your application. It may take a moment for the files to upload (sometimes several minutes if your files are large). Please do not close or refresh the browser window.
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Please upload any receipt copies, course completion information here.
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| 3. Statements |
General Statement
General Statement
Any person who knowingly and with intent to defraud the NSW Rural Assistance Authority (RAA) or another person, files an application for assistance containing any materially false information, or conceals for the purpose of misleading information concerning any fact material thereto, commits a fraudulent act, which is a crime under the Crimes Act 1900 and subjects the person to criminal penalties
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Privacy Statement
Privacy Statement
The information in this application is provided voluntarily and is being collected by the RAA for purposes related to the administration of the scheme of assistance under which you have applied, including the assessment of the effectiveness of the scheme. This may involve disclosing the information in this application to contractors engaged by the Authority or to either State or Commonwealth government agencies. We will supply you with details of those that we have disclosed information to, if you apply to us in writing. Information regarding your application may also be discussed and exchanged with the nominated contact persons listed by you in your application.
Not providing the information requested in this application or providing false or misleading or incomplete information may impact on the ability of the RAA to accurately assess your application.
The RAA agrees to take all reasonable measures to ensure that the personal information collected by it is stored securely.
You may access or correct your personal information by contacting the RAA by telephone on 1800 678 593 (toll free) or by writing to: Manager Administration, NSW Rural Assistance Authority, Locked Bag 23, ORANGE, NSW, 2800.
Calls to "1800" numbers from your home phone are free. Calls from public phones and mobiles may be timed and attract charges.
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Your Statement
Your Statement
I/We declare that:
the information provided in the form is correct
I/We have read and understand the information provided in the 'Program Guidelines' for this assistance measure
I/We understand that:
deliberately giving false or misleading information is a serious offence
the NSW Rural Assistance Authority can make relevant enquiries to ensure I receive my correct entitlement
any overpayment will be recovered
that as an individual I am eligible to receive a maximum reimbursement of 50% of the approved course costs of up to $5,000 over the life of the Program, with up to four (4) additional members of my/our farm business also able to participate and that a maximum of $9,000 is available for the farm business
regardless of whether I am undertaking a pre-approved course/activity or have obtained approval to complete another course/activity, there is no circumstance in which I will be eligible to reimbursement in excess of the limits as defined in the Program Guidelines
personal information is protected and can be given to someone else where state/territory or Commonwealth legislation requires or where I give permission
statistics may be collected and analysed in such a way as to protect my anonymity.
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