Life Support Concession Application Form State Revenue Office Page 2
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22 Life Support Concession
Life Support Concession – information for customers
Privacy statement
Your electricity retailer and the State Revenue Office are collecting this personal information for the sole purpose of assessing
your eligibility for an electricity concession. The information collected on this form is deemed personal information for the
purposes of the Personal Information Protection Act 2004. Without this information, your application for the concession will not
be able to proceed. You are able to request access to the personal information held about you, and to request it be corrected if
necessary, by contacting your electricity retailer. Please contact the State Revenue Office on (03) 6166 4400 with any questions
about this statement.
Who should complete this form
If you, or someone in your household, uses an approved life support system in your principal place of residence.
What machines are eligible for a concession?
Your medical practitioner must complete the bottom section of the front of this form to confirm the patient requires the use of the
machine.
Eligible machines are:
•
Oxygen concentrator
•
Chronic positive pressure and airways regulator
•
Combination oxygen concentrator chronic positive pressure and airways regulator
•
Peritoneal dialysis machine
•
Haemo-dialysis machine
•
Respirator
•
Phototherapy machine
•
Left ventricular assist device
If you have a different machine to those on the list above, please email the details to concessions@treasury.tas.gov.au
or phone (03) 6166 4400 or 1800 001388 (for Tas-based callers outside the '62' area).
How much discount will I receive off my bills?
The daily discount depends on the machine used in the property. For the current daily discount rates, please contact your
electricity retailer.
Where do I find my NMI No.?
The National Meter Identifier (NMI) Number is used to link the electricity meter at your property to your electricity account. It is
usually located on your electricity bill. If you cannot locate your NMI Number, you are still able to apply for the concession.
Where do I send my concession form?
MAIL
Aurora Energy Pty Ltd
Revenue Services Manager
GPO Box 191
HOBART TAS 7001
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