Rent Subsidy Application

Tenant and Household Member Personal Information

The Rent Subsidy Application confirms to SGCH who lives in your household and if you are eligible for a rental subsidy.

Please ensure you include,

all household members on the form
all sources of income for anyone aged 18 years and above

Address(Required)

Address Line 1 Address Line 2 Suburb Post code

Enter Email Confirm Email

Mobile Phone

Contact phone number(Required)

Head tenant

The head tenant is the person who signed your lease and appears on your rent account statement

Given name/s(Required)

Family name(Required)

Date of birth(Required)

Gender(Required)

Female

Male

Other

Source of Income(Required)

Other source of income(Required)

Centrelink Reference Number

Household member details

Use the 'add household member' button and fill in the details for everyone else who lives in your home

Full name	Date of birth	Gender	Relationship to you	Centrelink Reference Number	Source of income	Other source of income	Actions

There are no Household members.

Attach all relevant documentation as proof of income for each household member(Required)

Eg. Centrelink Income Statement, Payslips, letter from Superannuation fund. Please see table below for a list of what types of proof are required for each type of income.

Drop files here or

Max. file size: 12 MB.

Open the full list of types of proof required for each income type in a new browser window, or see in the image below.

By signing below I declare that

To the best of my knowledge the information I am providing is a complete and accurate statement of the people living in my household and the income they and I receive.
I have read SGCH's Privacy Notice that describes how personal information about me is collected, stored, shared to external parties and discarded in accordance with the NSW Privacy Act 1998.
I understand that to have my rent rebated I must provide current income details for all household members.
I understand that if I have been dishonest in any of the income information provided, SGCH can cancel the rent subsidy and charge market rent.

Signature(Required)