Online Form - Covid-19 Financial Hardship Application

The City of Busselton recognises that many in our community are experiencing hardship as the COVID-19 pandemic impacts lives and businesses. Council has implemented an interim hardship policy for the remainder of the 2019-20 financial year. The policy means that for those who are experiencing financial hardship, Council has agreed on some measures to lessen the immediate impact. Please see our FAQ’s to assist with determining whether you are eligible. It is important to note that the economic situation will also have a significant impact on Council and our budget.

(Please complete this application in full.)

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You have the ability to save this form and complete it at a later date. An email will be generated and sent to the specified address.

Note: Incomplete forms are kept for a period of 2 day(s) , after this time the system will automatically delete your response.

Is this application being lodged on behalf of a Corporate/ Community Organisation/ Body/ Group/ Club/ Business? *

Financial Hardship Details

Indicate the number of properties that you're seeking financial hardship for in the following categories (ie, none/ 1/ 2/ 3/ more than 3)

Which of the following are you in relation to the properties on this application? *

Confirm what capacity you are seeking financial hardship *

Additional Information & Confirmation

Maximum size of ALL attachments is 976.56 MB
Are you aware that there are other assistance programs available from the State and Federal Governments?


I declare that the information I have provided in this application is correct and I am the authorised person by all owners or lessees or the organisation/body/group/club/business to lodge this application. I understand that should these statements and answers be untrue that the City of Busselton reserves the right to retrospectively revoke all waivers, discounts and assistance provided. *

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