Applicant details The following information is about the charitable organisation(s) applying for dumping reduction program funding. The lead applicant is responsible for ensuring the delivery of the project, managing distribution of funding and providing final project reports. Refer to the dumping reduction program guidelines for more information. If there is more than one partner in the project, please attach additional pages with their details. Lead applicant LEAD APPLICANT DETAILS Organisation name ABN/ACN Address Street Suburb Postcode State WA Postal address Street Suburb Postcode State WA CONTACT PERSON Title First name Last name Position Email Phone ELIGIBILITY DETAILS Is the lead applicant a licensed charity the Western Australian YES NO Charitable Collections Act 1946? Has the organisation obtained Deductible Gift Recipient Status from the YES NO Australian Tax Office? Does the organisation collect or receive donated at public drop-off or YES NO 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? Is the organisation a member of the National Association of Charitable YES NO Recycling Organisations, Western Australia (NACRO WA)? Does the organisation have any outstanding obligations under other Waste YES NO Authority funding programs? Does the organisation have certificates of currency for insurances, YES NO including but not limited to, worker’s compensation insurance, directors and officers liability, personal accident insurance for volunteers (where applicable) and public liability insurance to cover its potential liability in conducting activities funded through the dumping reduction program?
Applicant details The following information is about the charitable organisation(s) applying for dumping reduction program funding. The lead applicant is responsible for ensuring the delivery of the project, managing distribution of funding and providing final project reports. Refer to the dumping reduction program guidelines for more information. If there is more than one partner in the project, please attach additional pages with their details. Lead applicant LEAD APPLICANT DETAILS Organisation name ABN/ACN Address Street Suburb Postcode State WA Postal address Street Suburb Postcode State WA CONTACT PERSON Title First name Last name Position Email Phone ELIGIBILITY DETAILS Is the lead applicant a licensed charity 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 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 Is the organisation a member of the National Association of Charitable Recycling Organisations, Western Australia (NACRO WA)? YES NO Does the organisation have any outstanding obligations under other Waste Authority funding programs? YES NO Does the organisation have certificates of currency for insurances, including but not limited to, worker’s compensation insurance, directors and officers liability, personal accident insurance for volunteers (where applicable) and public liability insurance to cover its potential liability in conducting activities funded through the dumping reduction program? YES NO
Dumping_Reduction_Program_-_Application_Form.docx