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