Crossover Subsidy Application Form

Crossover Subsidy Application Form
The crossover shall be inspected and approved by the City’s Administration and Compliance officer prior to the payment of the subsidy. A residential crossover may be eligible for a subsidy provided:

✔ No crossover has previously been constructed* and a subsidy has not been paid previously;

✔ The crossover has been constructed in accordance with the City’s specifications;

✔ You have attached copies of all material and contractor receipts associated with the work, which should include the sub- base material (gravel, road base etc), sand, pavers, concrete and asphalt supplied. If your Builder completed the crossover written confirmation is required from them confirming the cost of construction.

*In addition, a subsidy may be paid to a current owner of a property who upgrades an ‘old damaged Asphalt crossover’ which is considered by the City to have served its useful life.
Please upload the relevant files :

Cancelof
Applicant Details
Name
Postal Address
Suburb
Contact Number
Email
example@example.com
Address of Crossover Constructed:
Lot
Street Name
House Number
Suburb
Contractor Details

(Registered)
Company Name
Contact Number
Select Type of Crossover Constructed

Brick Paving:Concrete:Asphalt:
Declaration

I declare the crossover listed in this application has been constructed in accordance with the City’s specifications and I have provided copies of all materials and contractor receipts associated with the works.
Signature

Clear
Date

DayMonthYear
Should be Empty:

Crossover Subsidy Application Form

Applicant Details

Address of Crossover Constructed:

Contractor Details

Declaration