Applicant instructions
If you were in a FIFO (fly-in, fly-out) work arrangement on 17 October 2024, you can ask your employer to complete this template to show your eligibility for the $200 Individual Power Outage Support Grant – Far West Region October 2024.
Giving false or misleading information is a serious offence. If information is found to be untrue or misleading, the matter may be referred to NSW Police and criminal penalties may apply.
Employer instructions
- Copy the text below onto your business letterhead. Your letterhead should include the name, address and ABN/ACN of your business.
- Complete all requested information.
- Sign the letter (digital signature block accepted) ensuring that it includes:
- your name and position title
- telephone number and email address.
If we do not receive all the information requested, it may cause delays in processing applications, and we may have to ask you to supply a new letter.
The information you provide will be assessed in accordance with the guidelines and is subject to the terms and conditions and privacy collection notice.
Letter text
[Company letterhead]
Attention: Service NSW assessment team
Re: $200 Individual Power Outage Support Grant – Far West Region, October 2024
I confirm that I am authorised to complete this letter on behalf of [insert business name] and provide this information with respect to:Employee's name: [Full name]
Employee's residential and working addresses in the impacted area as at 17 October 2024:
[Residential address]
[Working address]
I confirm that this employee was in a fly-in, fly-out (FIFO) work arrangement on 17 October 2024 and impacted by the event.
[Signature of authorised person]
[Date]
[Name, position title]
[Contact telephone number, email address]