Apply for a Bond Loan and Rental Grant

1. First name *
2. Second name
3. Surname *
4. Are you known by another name (alias)? *

   • Yes
   • No
6. Date of birth *
7. Gender *

   • Male
   • Female
   • Indeterminate/intersex/unspecified
8. Please select if you identify as

   • Aboriginal
   • Torres Strait Islander
   • Aboriginal and Torres Strait Islander
   • None of the above
9. Do you have a Power of Attorney? *

   • Yes
   • No
10. Name *
11. Phone Number *
12. Are your personal affairs managed by the Public Trustee? *

    • Yes
    • No
13. Name *
14. Phone Number *
15. Are you an employee of the Department of Housing and Public Works? *

    • Yes
    • No

1. What is your preferred method of contact? * Phone Call Email
2. (You must provide at least one contact number) *
3. Phone number
4. Mobile number
5. Email address

1. Street address *
2. Suburb *
3. State * QLD NSW VIC WA SA ACT NT TAS
4. Postcode *

1. • Same as your address
2. Street address *
3. Suburb *
4. State * QLD NSW VIC WA SA ACT NT TAS
5. Postcode *

Enter the details of someone who we can contact if we have difficulty contacting you.

An alternative contact person is someone we can contact if we cannot get in contact with you. We will only contact this person if needed.

1. Primary ID * 18 Plus card with photograph Adult Proof of Age Card QLD Birth Certificate CRN on offical document Driver's licence with photograph Immigration papers Naturalisation/Citizenship certificate Passport Photo Identification Card QLD QLD Firearms License with photograph Keypass with photograph
2. Expiry Date *

   * Use a current Primary ID document - Expiry date should not be in the past. If the expiry is a month, please select the last day of that month for the expiry date.

3. Primary ID attachments *
   Add attachment (Maximium file size: 10 megabytes. Preferred file types: PDF, Jpeg, GIF, TIFF)
4. Secondary ID * Apprenticeship Indenture papers Bank/Credit/ATM card DVA on offical document Divorce papers Life Insurance Policies Medicare card (Green/Blue/Yellow) Occupation Registration documents Original Australian marriage certificate Other Other photographic ID Pension card or Health Benefit card Recent account statement Student card with photograph Tax Assessment notice
5. Expiry Date *

   * Use a current Secondary ID document - Expiry date should not be in the past. If the expiry is a month, please select the last day of that month for the expiry date.

6. Secondary ID attachments *
   Add attachment (Maximium file size: 10 megabytes. Preferred file types: PDF, Jpeg, GIF, TIFF)

1. 1. Type of Income * Casual Earnings Centrelink payments Department of Veteran's Affairs payments Other Self Employed Superannuation Wages No Income Self Employed less than 12 months
   2. Income verification documents *
   3. * You have indicated you have been self-employed for less than 12 months. As you will not yet have a Tax Assessment Notice from the ATO for the previous financial year, we will assess your application using an equivalent Centrelink Payment for you. You will need to tick this declaration to confirm you agree with the department using this method to assess your income.
   4. Some Other types of income may include:
      
      • Compensation/Work Cover
      • Scholarship payments
      • Payments for refugees (SRSS - Status Resolution Support Services Payment)
      • Foster Care payments
      • Investment income
      • Child support - Private collect arrangement
   5. *
   6. Add attachment (Maximium file size: 10 megabytes. Preferred file types: PDF, Jpeg, GIF, TIFF)
2. (You must provide your Centrelink Reference Number if you have selected Centrelink Payments as your type of income) *
3. Centrelink Reference Number
4. Department of Veterans' Affairs number
5. Total gross weekly income * $
6. Total cash and savings * $
7. Do you own or part own any of the following? *

   • Residential property
   • Any of the following connected to normal household utilities (e.g. gas, electricity, water)
     - Caravan
     - Mobile home
     - Live-aboard boat
     - Donga or manufactured home
   • None of the above

1. Please choose your Australian residency status * Australian Citizen Holder Permanent Resident Visa Holder of a Permanent Protection Visa (Class XA) Holder Residential Status (851) Visa Have a Bridging Visa and have applied for Permanent Protection Visa (class XA) Holder of a Temporary Protection Visa (TPV) Applied for Permanent Residency Have a Bridging Visa and are being processed for Resolution of Status Visa (subclass 851) Hold a current New Zealand Passport None of the above

2. You must check at least one item from the below list and attach evidence of your Australian citizenship or residency status to this application before it can be submitted.

3. Australian residency verification documents *

1. Please select which of the following applies to your current circumstances: *

   • You have left a community based rent scheme in Queensland and are moving to new private rental accommodation?
     We will need to see evidence supplied by the community based rent scheme provider, and your Rental Grant application will need to be submitted within 14 days of leaving the community based rent scheme accommodation.
   • You or a member of your household are experiencing domestic and family violence?
     We will need some information to understand your situation better. If possible, please provide written documentation for yourself or a household member, such as:

     • a current Protection Order/Interim Protection Order from the Magistrate’s Court
     • a current Family Court Injunction
     • a Domestic Violence Order
     • an affidavit from friends or family.

     If you do not have any of the written documentation available, you can complete an Authority to Disclose form to allow us to talk about your situation with other Government agencies or Government funded agencies, a housing provider, support services, your doctor or GP.
   • You are homeless or at risk of becoming homeless?
     We will need some information to understand your situation better. If possible, please provide written documentation for yourself, such as:

     • a copy of a warrant of Possession
     • an affidavit from a housing or community worker, or an Elder of an Indigenous community verifying your situation
     • a current Peace and Good Behaviour Order
     • a current Family Court Injunction
     • verification from the Department of Communities, Child Safety and Disability Services that you or your family is at risk
     • if natural disaster or fire caused your situation, a statement from the Queensland Fire and Emergency Services, your insurance company, a building inspector, or Queensland Police to state that your house is not habitable.

     If you do not have any of the written documentation available, you can complete an Authority to Disclose form to allow us to talk about your situation with other Government agencies or Government funded agencies, a housing provider, support services, and your doctor or GP.

   Within the last 3 months:

   • You have stayed at least 28 days in an approved centre (e.g. women’s refuge, shelter, crisis accommodation)?
     We will need to see evidence supplied by the approved centre. Please note, your Rental Grant application will need to be submitted within 3 months of leaving the approved centre.
   • You are a discharged prisoner from a correctional centre having served at least 28 days at the correctional centre?
     We will need some information to understand your situation better. Please provide written documentation, such as:

     • An Order for Discharge of Prisoner stating you have served at least 28 days in the centre
     • A Parole Order stating you have served at least 28 days in the centre
     • Any other documents from the correctional centre stating you have served at least 28 days in the centre

     Your application for a Rental Grant will need to be submitted within 3 months of leaving the correctional centre.
   • You have been discharged from a hospital or other health facility including a mental facility or rehabilitation centre, and have been a resident for at least 28 days in the facility?
     We will need to see evidence from the facility to state you were a resident in the facility for at least 28 days. Please note, your application for a Rental Grant must be submitted within 3 months of leaving the facility.
   • You have left a child protection service and are moving into private rental accommodation?
     We will need some information to understand your situation better. Please provide written documentation from the Department of Communities, Child Safety and Disability Services confirming:

     • Your transition to independent living if you are a young person who is leaving the care of the State and moving into private rental accommodation.
     • You have left a child protection service to move into private rental accommodation.

     Please note, your application will need to be submitted within 3 months of leaving the child protection service.
   • None of the above
3. You must attach evidence supporting your application for rental grant before you can submit this application. *
   2. Remove
   Add attachment (Maximium file size: 10 megabytes. Preferred file types: PDF, Jpeg, GIF, TIFF)