Given name(s) Have you sought review from the NCE in this Date of birth matter or from another body e.g. the Ombudsman, a tribunal or a court? (Please tick) Yes No Part 1 (b): Company details If you have answered no, there may be other Company name avenues of redress available to you. Please contact the relevant NCE in the first instance. If yes, who reviewed the matter and what was Authorised officer & position the outcome? Please attach copies of review decisions. Part 2: Contact details Postal address State and Postcode Contact details Home Phone Number ( ) Work Phone Number ( ) Mobile Phone Number Email address How did the debt arise and why do you Part 3: Application details consider you should not have to repay it? Which NCE (Commonwealth department or Please attach relevant supporting agency) do you owe a debt to? documentation.
Given name(s) Date of birth Part 1 (b): Company details Company name Authorised officer & position Part 2: Contact details Postal address State and Postcode Contact details Home Phone Number ( ) Work Phone Number ( ) Mobile Phone Number Email address Part 3: Application details Which NCE (Commonwealth department or agency) do you owe a debt to? Have you sought review from the NCE in this matter or from another body e.g. the Ombudsman, a tribunal or a court? (Please tick) Yes No If you have answered no, there may be other avenues of redress available to you. Please contact the relevant NCE in the first instance. If yes, who reviewed the matter and what was the outcome? Please attach copies of review decisions. How did the debt arise and why do you consider you should not have to repay it? Please attach relevant supporting documentation.
pgpa-application-for-a-waiver-of-debt-owed-to-the-government_0_0.docx