I, the applicant as noted above, authorise:
the Mareeba Shire Council to use Centrelink Confirmation eServices to perform a Centrelink / Department of Veteran's Affairs (DVA) enquiry of my Centrelink or DVA's customer details and concession card status in order to enable the business to determine if I qualify for a concession, rebate or service.
Services Australia to provide the results of that enquiry to Mareeba Shire Council.
I understand that:
Services Australia will disclose personal information to Mareeba Shire Council including my name, address, payment and concession card type and status to confirm my eligibility for pensioner rates remission.
this consent, once signed, remains valid while I am a customer of Mareeba Shire Council unless I withdraw it by contacting the Mareeba Shire Council or Services Australia. I can get proof of my circumstances or details from Services Australia and provide it to Mareeba Shire Council so they can determine my eligibility for pensioner rates remission.
if I withdraw my consent or do not alternatively provide proof of my circumstances/details, I may not be eligible for the concession provided by Mareeba Shire Council.
In completing this form electronically, I
confirm that the electronic signature in this consent represents my signature,
consent to signing the form electronically and I confirm that my signature is legally binding.