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complete this form). Centrelink confirmation The form includes a Statutory Declaration that What NET (after tax)



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A confirmation letter form Centrelink confirming that you have received an The form includes a Statutory Declaration that must be signed (after tax) amount do

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If you want to know how to prepare and write a statutory declaration, click on this page.

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An Incolink Severance Account is the default account Completing the Initial Claim Form via Workerlink or If submitting with a statutory declaration,

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A statutory declaration must contain accurate and factual information. and by virtue of the Statutory Declarations Act 1835. and then use ‘tax office’,

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Australian Capital Territory: Nicholls ACT, Gateshead ACT, Capital Hill ACT, Griffith ACT, Weston Creek ACT, ACT Australia 2614

New South Wales: Baan Baa NSW, Bland NSW, Welaregang NSW, One Mile NSW, Yass NSW, NSW Australia 2031

Northern Territory: Kalkarindji NT, Nightcliff NT, The Narrows NT, Ti Tree NT, Warruwi NT, Moil NT, NT Australia 0836

Queensland: Nindigully QLD, Seventy Mile QLD, Cloncurry QLD, Parramatta Park QLD, QLD Australia 4066

South Australia: Klemzig SA, Rosewater SA, Peterborough SA, Point Sturt SA, False Bay (locality) SA, Glenelg East SA, SA Australia 5095

Tasmania: Eggs And Bacon Bay TAS, Natone TAS, Tonganah TAS, TAS Australia 7038

Victoria: Minimay VIC, Erica VIC, Stradbroke VIC, Forrest VIC, Manangatang VIC, VIC Australia 3009

Western Australia: Burringurrah (Mt Augustus) WA, Iragul Community WA, Cuddingwarra WA, WA Australia 6076

British Columbia: New Denver BC, Harrison Hot Springs BC, West Kelowna BC, Comox BC, Creston BC, BC Canada, V8W 8W6

Yukon: Whitestone Village YT, Paris YT, Tagish YT, Sixtymile YT, Caribou YT, YT Canada, Y1A 5C1

Alberta: Coaldale AB, Rosalind AB, Breton AB, Gadsby AB, Ponoka AB, Barons AB, AB Canada, T5K 4J7

Northwest Territories: Norman Wells NT, Hay River NT, Whati NT, Reliance NT, NT Canada, X1A 4L8

Saskatchewan: Lake Alma SK, Climax SK, Outlook SK, Shamrock SK, Lumsden SK, Balgonie SK, SK Canada, S4P 7C8

Manitoba: Carberry MB, Rossburn MB, Rapid City MB, MB Canada, R3B 8P8

Quebec: L'Ile-Perrot QC, Grande-Riviere QC, Saint-Basile QC, Montreal-Est QC, Lac-Saint-Joseph QC, QC Canada, H2Y 8W2

New Brunswick: Blacks Harbour NB, Lameque NB, Cocagne NB, NB Canada, E3B 4H4

Nova Scotia: Middleton NS, Clare NS, Shelburne NS, NS Canada, B3J 6S4

Prince Edward Island: Afton PE, Tignish Shore PE, Lower Montague PE, PE Canada, C1A 5N3

Newfoundland and Labrador: Clarenville NL, Woodstock NL, Sandy Cove NL, Ramea NL, NL Canada, A1B 1J8

Ontario: Carss ON, Maxwell, Grey County ON, Read ON, Parry Sound, Bethany ON, Dalmeny ON, Phelpston ON, ON Canada, M7A 7L6

Nunavut: Port Leopold NU, Grise Fiord NU, NU Canada, X0A 6H9

England: Redditch ENG, Cambridge (/ Milton) ENG, Paignton ENG, Brighton and Hove ENG, Tynemouth ENG, ENG United Kingdom W1U 6A8

Northern Ireland: Newtownabbey NIR, Bangor NIR, Belfast NIR, Newtownabbey NIR, Craigavon (incl. Lurgan, Portadown) NIR, NIR United Kingdom BT2 5H1

Scotland: Dundee SCO, Kirkcaldy SCO, Dunfermline SCO, Dunfermline SCO, Kirkcaldy SCO, SCO United Kingdom EH10 1B7

Wales: Barry WAL, Cardiff WAL, Barry WAL, Newport WAL, Newport WAL, WAL United Kingdom CF24 3D1