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Fee Waiver Application
This form must be completed in one session. It cannot be saved.
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Step 1 - Make sure that the fee is one we can
waive. |
Warning!
Make sure that your request falls within circumstances under which
an ASIC delegate may
waive a late fee
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If you do not wish to proceed with your request click 'CANCEL'.
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Complete the checklist below to help you to confirm whether you meet
the legal requirements under which we may waive a late fee.
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Please note that answering 'yes' to one or more of the above
question does not guarantee that your request will be granted.
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Step 2 - If applying for a late payment fee to be waived, please ensure that only the annual review fee is paid. |
Step 3 - Provide fee waiver request details. |
We assess each application individually. We consider all of the
facts and circumstances of individual cases when assessing an
application. It is very important to include all relevant facts and
supporting evidence when you make an application.
Details of entity that has incurred the late fee. |
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*Entity type |
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Enter digit number only with no spaces (eg 999999999).
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*Entity number |
(e.g. ACN)
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| Find Company Number
Find Professional
Licence Number
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*Amount requested to be waived for this Entity |
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$
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Insert date the fee was charged (if known) |
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*State the reason you believe this late fee should be waived |
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Please provide details of the entity requesting this fee waiver.
Applicant details |
Title | |
*Given names | |
*Family name | |
*Capacity | |
*Address |
Care Of | |
Office Floor Building | |
Street | |
Suburb or Locality State Postcode | |
Country | |
*Best time to call | |
*Preferred telephone number |
Number
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Comments
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*Email address | |
*Confirm email address | |
*Do you have supporting evidence to attach to this application?
Yes
No
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Attachments |
If you require further instructions, please refer to the technical FAQ. |
Note: The maximum size of each attachment to this page is
10.0 MB.
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Confirm Application Details |
The next step is to submit your application with ASIC. As the applicant you are required to certify that the information in this application is true and correct. |
| I certify that the information submitted in this application is true and correct. |
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Step 4 - Submit your application. |
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You have now prepared and reviewed your application.
If you are satisfied with the information contained, submit your
application by clicking the 'SUBMIT' button below.
Once the document has been successfully submitted with ASIC a transaction
receipt will display on the screen.
We'll respond to you in writing to your company's contact address
and let you know if your waiver request has been approved or rejected.
It can take up to 28 days to process your fee waiver request.
Important:
Please make sure you record the transaction receipt number displayed
on the next screen. If you need to contact ASIC in relation to this
application you will need to provide the transaction receipt number.
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