Victorian Business Support Grant 3
Please only complete this form if:
-Operate in a business industry listed as eligible
-Your business employs staff; and
-You operate a business located in Victoria; and
-Your business is enrolled for JobKeeper; and
-Your business is registered with Worksafe on 30 June 2020; and
-Your business has an annual payroll of less than $10 million in 2019-2020; and
-Your business is registered for GST on 13 September 2020; and
-Your business holds an up to date ABN registration at at 13 September 2020

And you consent to Suntax Completing the State Government Grant application on your behalf for $450 plus GST (NOTE:  this fee is fully refundable if your grant application is unsuccessful)
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Your Name *
Your Business Name *
Business ABN *
Your email to send confirmation of the Grant Application *
Best phone number for Suntax to contact you on *
What was your annual payroll for 2019-20? *
Describe your business in detail. We will use this information to make sure your ANZSIC Industry code on the Australian Business Register is reflective of the industry you operate in. (ie. We are electricians that predominantly work on domestic homes) *
WorkCover Employer Number *
Turnover for 2019/20 *
Please describe how the shutdown restrictions  in 'Victoria's Roadmap for Re-opening' have impacted your business. (i.e. my business has closed its doors and is in lock down and my sales have fallen by 80%) *
How many staff do you employ? *
How many full time equivalent (FTE) staff does this equate to? (FTE = over 35 hours per week) *
How many employees are currently enrolled in your JobKeeper declarations? *
Banking Details: Account Name *
Banking Details: BSB Number *
Banking Details: Account Number *
I understand that applicants may be subject to audit by the Victorian Government and will be required to retain evidence supporting the application and evidence as to the allocation and use of the grant at the request of the Victorian Government for a period of four years after the Grant has been approved. *
Required
I approve Suntax to submit this grant application on my businesses behalf *
Required
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