• Section C: Declaration

    Read the declaration. If it is correct, print your full name then sign and date it.

    Send your completed form and any supporting documents:

    • mail to

    Micro Enterprises and Individuals - Interpretive Assistance
    PO Box 1130
    Penrith  NSW  2740

    • fax (02) 6225 0901.

    Keep a copy of this form and copies of any supporting documents for your records.

    Last modified: 14 Sep 2016QC 22212