Application for hardship consideration

About this form

Wyndham City Council has adopted a hardship consideration policy. A full version of the policy is available from Council's website.

Under Council’s hardship policy, assistance can be provided to owner occupier homeowners by way of one or more of the following:

Waiver of penalty interest
Waiver of legal costs
Acceptance of a payment arrangement
Defer part of the rates

Each application will be reviewed individually, and a plan agreed based on the specific circumstances.

Privacy Collection Statement

Your personal information is being collected by Wyndham City to allow Council to assess if penalty interest charged on outstanding rates and charges will create extreme financial hardship under Council’s Financial Hardship Assistance Policy. The information will be used by Council and its contracted debt collection agency for that purpose or a directly related purpose, but shall otherwise remain private within Council unless disclosure is required by law or consented to by you. You may apply for access and/or amendment of the information by writing to Council’s Privacy Officer.

I have read and understood the Privacy Statement mentioned above (required)

Contact Details

Owner/s names: (required)

Property Address (required)

Is this property your principal place of residence?

Yes

No

Preferred Contact Number(required)

Email Address (required)

Financial information

Are you being provided financial support though CenterLink?

Yes

No

Pease provide details and attached a copy of your card:

Attach a copy of your card

Note: This could be any payment through CentreLink, Veterans Affairs or being provided a Health Care Card

One file only.
64 MB limit.
Allowed types: gif, jpg, png, svg.

Do you have assets or interest in assets over the value of $10,000 other than your primary place of residence, your primary means of transport or superannuation?

Yes

No

Please provide details

Have you received or are you receiving any sort of support or financial counselling?

Yes

No

Please provide details

Please use this section to detail your situation if you are not already receiving some form of State or Federal Government assistance:

Proposed payment arrangement

Please propose a payment arrangement that is affordable for you to maintain while you are in hardship circumstances:

Amount: (required)

Frequency: (required)

Weekly

Fortnightly

Monthly

Starting from (required)

After the council completes its initial assessment, we may request additional supporting documents to further evaluate your hardship application. The following are examples of the types of documents we may request :

Utility Bill/s showing arrears amounts
Bank Account Statement/s for the last 3 months
Any other documentation which will assist council to establish you are in Hardship

Signed (required)

Sign above

Date: (required)

View Financial Counselling Services

Back to top

Acknowledgement of Traditional Custodians

Wyndham City Council recognises Aboriginal and Torres Strait Islander peoples as the first Peoples of Australia. We acknowledge the Bunurong and Wadawurrung Peoples as Traditional Owners of the lands on which Wyndham City operates. The Wadawurrung and Bunurong Peoples have and always will belong to the Werribee Yalook (river), creeks, stars, hills and red clay of this Country. We pay respect to their Ancestors and Elders who always have, and always will, care for Country and community today and for future generations.