| *Indicates Compulsory Field |
| *Name: |
| Company: |
| *Phone: Eg xx-xxxx-xxxx |
| Mobile: |
| Fax:
|
| Address1:
|
| Address2:
|
| *Suburb: |
| *State:
*Post Code:
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| *Email:
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| *Preferred Contact Method:
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| Do you want to receive our Email Newsletter:
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| Delivery Address if Different from Above |
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| Additional Information: |
| This form is for owner-occupiers. If you are
renting or a landlord, you need to fill in the
Low Emission Assistance Plan
for Renters form. |
| Applicant and Dwelling
Eligibility |
| Are you an Australian citizen or permanent
resident aged 18 years or over? |
|
If no, then you are not eligible |
| Is the dwelling where the ceiling insulation is
to be installed located in Australia? |
|
If no, then you are not eligible |
| Is the dwelling where the insulation is to be
installed a new home or a major extension of an existing home, requiring
approval under the Building Code of Australia? |
|
If yes, then you are not eligible |
Is the Dwelling a principal place of residence?
A Principal place of residence is a home where an owner
primarily resides |
|
If no, then you are not eligible |
Is the dwelling privately owned?
For example, it is not state or territory public
housing and is not owned by a state or territory government. |
|
If no, then you are not eligible |
Are you the owner-occupier of the dwelling?
You must be the owner of, and live in the dwelling where
the insulation is installed at the time the insulation is to be installed |
|
If no, then you are not eligible |
| Is there insulation already in the ceiling? |
|
If yes, then you may not be eligible |
| Have you been granted assistance under the
solar hot water rebate program since the rebate was increased to $1,600 on 3
February 2009 |
|
If yes, then you are not eligible |
| Approximately how many Square Metres of
Insulation do you require? |
* |
|
| What is your preferred type of insulation? |
* |
|