ELIGIBILITY DETAILS Is the organisation a licensed charity under the Western YES NO Australian Charitable Collections Act 1946? Has the organisation obtained Deductible Gift Recipient Status from the Australian Tax Office? YES NO Does the organisation collect or receive donated goods at public drop-off or donation points such as charity bins or YES NO shopfronts in the Perth metropolitan region, in accordance with a community service or activity that benefits the community? Are the collection activities undertaken voluntary or and with no commercial interest (they are undertaken YES NO exclusively to support the charitable purpose of the organisation)? If no, please provide details of commercial interests that benefit from the collection activities. Does the organisation sell or allow its brand to be used by commercial operators to solicit donated goods? YES NO If yes, provide details on the commercial operators that use the brand and the purpose that the goods are solicited for. DETAILS OF CLAIM Is this rebate claimed for waste that has been disposed of at a YES NO landfill(s) licensed by the Department of Water and Environmental Regulation (DWER)? What is the total quantity of eligible waste disposed of to ___ tonnes landfill during the quarter? Has the landfill levy been applied to the waste disposed? YES NO Total value (dollar amount) of your claim for the quarter (landfill $ (excl GST) levy cost associated with disposing of the quantity of waste to landfill in the quarter) SUPPORTING DOCUMENTATION CHECKLIST Funding will only be provided if the relevant supporting documentation is submitted
ELIGIBILITY DETAILS Is the organisation a licensed charity under the Western Australian Charitable Collections Act 1946? YES NO Has the organisation obtained Deductible Gift Recipient Status from the Australian Tax Office? YES NO Does the organisation collect or receive donated goods at public drop-off or donation points such as charity bins or shopfronts in the Perth metropolitan region, in accordance with a community service or activity that benefits the community? YES NO Are the collection activities undertaken voluntary or and with no commercial interest (they are undertaken exclusively to support the charitable purpose of the organisation)? If no, please provide details of commercial interests that benefit from the collection activities. YES NO Does the organisation sell or allow its brand to be used by commercial operators to solicit donated goods? If yes, provide details on the commercial operators that use the brand and the purpose that the goods are solicited for. YES NO DETAILS OF CLAIM Is this rebate claimed for waste that has been disposed of at a landfill(s) licensed by the Department of Water and Environmental Regulation (DWER)? YES NO What is the total quantity of eligible waste disposed of to landfill during the quarter? ___ tonnes Has the landfill levy been applied to the waste disposed? YES NO Total value (dollar amount) of your claim for the quarter (landfill levy cost associated with disposing of the quantity of waste to landfill in the quarter) $ (excl GST) SUPPORTING DOCUMENTATION CHECKLIST Funding will only be provided if the relevant supporting documentation is submitted
CRR_Application_Form.docx