Rates Assistance (Special Disability Trust) Application Form

If you're a property owner and a beneficiary of a Special Disability Trust you (or your trustee on your behalf) may apply for a rebate or deferral of your rates under the Rates Act 2004.

Please complete the following questions to apply for a Special Disability Trust rebate and/or deferral on your rates at the ACT Revenue Office
All fields marked ( * ) are mandatory.

Section 1: Trust details

Date of birth: *

Date of birth: (Only complete if trustee is a person)

Section 2: Contact details

Section 3: Property details

Is this property the beneficiaries principal place of residence? *
If the property is not your principal place of residence you are not eligible for a deferral of rates.
Please submit a Land Tax Notification Form.

Section 4: Special Disability Trust details

Have you been assessed by the Australian Government Department of Human Services Special Disability Trust Team? *
Are you the sole principal beneficiary of a Special Disability Trust? *
Please select the type of pension you receive: *

Section 5: Assistance scheme

Are you applying for a rates rebate? *
Are you applying for rates deferral? *
Please indicate which charges you would like deferred:

If you elect to defer future year's rates all future rates will be automatically deferred. You can stop the deferment at any time by requesting in writing that the future year's rates deferment stops.

Section 6: Attachments

  • Australian Government Department of Human Services Special Disability Trust assessment
  • Special Disability Trust
  • Pension card (front and back)
  • Any additional documents to support your application

Section 7: Declaration

Identify who is making the declaration: *

Declare that:

  • I wish to make an application under the Rates Act 2004 for a rebate and/or deferment of rates.
  • To the best of my knowledge the information provided in this application is true and correct.
  • I authorise the ACT Revenue Office to verify the details provided to substantiate my application.
  • I understand that the information provided will be used by the ACT Revenue Office to determine my eligibility for a rates rebate and/or deferment and that the information provided will not be used for any other purpose.
  • I acknowledge that under section 338 of the Criminal Code 2002, giving false or misleading information is a serious offence and I will notify the ACT Revenue Office in writing and provide full details if there is a change in my circumstances during the financial year. This includes change of contact details, address or cessation of trading in the ACT.

Privacy Statement

Information collected by the ACT Revenue Office (ACTRO) is protected by secrecy provisions contained in Acts administered by the ACTRO, including the Taxation Administration Act 1999, and is used for the purposes of administering those Acts. In addition, personal information provided to the ACTRO is protected by the Information Privacy Act 2014. Information (including personal information) is not disclosed to any third party without the consent of the person involved, unless authorised by law. For example, the ACTRO may disclose tax information in connection with the administration of a tax law, or may be required to disclose information to organisations that have legal authority to require the information in prescribed circumstances, including for law enforcement purposes.

Please read our Privacy Policy which sets out how personal information is collected, used and disclosed by the Commissioner for ACT Revenue and the ACT Revenue Office, how you may access and seek correction of your personal information, and how you may complain about breaches of privacy.

Contact us

If you require further information on Rates Assistance schemes and your application, please contact the ACT Revenue Office by clicking here or call us on (02) 6207 0028.