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Application for business financial hardship assistance

Use this form to make an application for financial hardship assistance as a small or medium business. You will need to meet the eligibility criteria outlined below to be considered. This process is consistent with the General Financial Hardship Policy.

Definition of Financial Hardship

For the purpose of the General Financial Hardship Policy, financial hardship means:

Severe financial suffering due to a force majeure event which could be brought on by at least 25% decline in turnover compared to the same period last financial year.

Any circumstances not within the reasonable control of the Small or Medium Business affected, but only if and to the extent that:

  1. Such circumstance, despite the exercise of reasonable diligence and the observance of good business conduct, cannot be or be caused to be, prevented, avoided or removed by the Small or Medium Business
  2. Such circumstance, materially and adversely affects the ability of the Small or Medium Business to perform business as usual, and such Small or Medium Business has taken all reasonable precautions, due care and reasonable alternative measures in order to avoid the Financial Hardship effect of such event, and to mitigate the consequences thereof

Any registered business (ABN/ACN) that meets all the following criteria:

  1. A business that employs between 0 and 19 employees, 
  2. A business that has aggregated turnover of less than $1 million per annum, 
  3. A business that is not a subsidiary or associate of a medium or large business, and
  4. A business that is not a superannuation or trust fund.

Any registered business (ABN/ACN) that meets all the following criteria:

  1. A business that employs between 20 and 199 employees,
  2. A business that has aggregated turnover of less than $5 million per annum,
  3. A business that is not a subsidiary or associate of a medium or large business, and
  4. A business that is not a superannuation or trust fund.

We can only offer a partial refund where a service cannot be provided in the future. Refunds are not available for services completed or for prior periods.

We cater for people of all backgrounds. Please ask your English-speaking support person to call 03 9280 0726.

Application form

Applicant details
Name (required) *
First field is required.
Last field is required.
Address (required) *
Street address field is required.
Suburb field is required.
State field is required.
Postcode field is required.
Country field is required.
Preferred day time contact number field is required.
Business/company name field is required.
Trading name field is required.
Address of business (required) *
Street address field is required.
Suburb field is required.
State field is required.
Postcode field is required.
Country field is required.
ABN / ACN field is required.
Registered for GST?
Are you
Annual turnover field is required.
Number of staff currently employed field is required.
Please provide details of your financial situation that prevents you from meeting your financial obligation to Council field is required.
Please provide details of all reasonable precautions, due care and alternative measures taken in order to avoid financial hardship field is required.
Please provide details of payments you have made, or are owing to, the City of Melbourne within the current financial year 2024-25:
Payment arrangement
Please indicate the type and amount of Financial Hardship assistance requested
Amount of assistance requested in dollars (If unknown - please put 'NA') field is required.
Is this amount

This Financial Hardship application will be assessed by qualified City of Melbourne officers who will be exercising professional judgement and are able to request additional relevant or substitute information in order to assist with assessing the claim.

Declaration

I make this solemn declaration conscientiously believing the same to be true and by virtue of the provision of an Act of Parliament of Victoria rendering persons making a false declaration punishable for wilful and corrupt perjury.

I consent to the handling of my personal information provided with this application form.

Ticking this box is acceptance that all the information you have supplied is accurate, and that you have read and understood the declaration above. (required) *
I have read and agree to the declaration above field is required.
Privacy

The City of Melbourne is committed to protecting your privacy. The personal and financial information in the claim form and supporting documentation is being collected by City of Melbourne for the purpose of assessing your application for financial hardship assistance resulting from a Force Majeure Event, or any other directly related purpose. The information provided will not be disclosed to any other external party without your consent, unless required or authorised by law. If this information is not collected, we will not be able to fully assess your application or contact you to discuss your application. If you wish to alter any information you have supplied to City of Melbourne, please contact Council via the City of Melbourne website – contact us.

Financial hardship assistance

our acknowledgement

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The City of Melbourne respectfully acknowledges the Traditional Owners of the land we govern, the Wurundjeri Woi-wurrung and Bunurong / Boon Wurrung peoples of the Kulin and pays respect to their Elders past and present. 

 

We acknowledge and honour the unbroken spiritual, cultural and political connection they have maintained to this unique place for more than 2000 generations.

We accept the invitation in the Uluru Statement from the Heart and are committed to walking together to build a better future.