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Get Electricity Rebate Propietor Application Form 502. Electricity Rebate

Nd who DO NOT pay rent With other people who provide care and assistance and who DO NOT pay rent Department of Communities, Child Safety and Disability Services FORM 502 Amd.2/17 Page 2 of 2 APPLICATION FOR ELECTRICITY REBATE Claimant s Declaration (Initial Claim Only) Start Date of Rebate Name of the claimant eligible to receive the rebate (who has not been included on a previous claim; or who has become reeligible for the rebate). (Print name in full) Insert Type of Card Eg PCC/ H.

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