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Living Away from Home Allowance Declaration Form
Absolute peace of mind Living Away from Home Allowance Declaration Form Please supply all details below for Australian Bank Accounts Only and return to: The Billing and Remuneration Department Entity Solutions Pty Ltd Level 11, 410 Collins Street Melbourne VIC 3000 National Payroll Fax number: 1800 306 266 Phone number: (03) 9600 - 0333 DECLARATION 11 TAX PAYER’S NAME TAX FILE NUMBER YEAR ENDED EMPLOYER I, , declare that during the period of to , was required to live away from my usual place of residence in order to perform the duties of my employment. During that period my usual place of residence was: (State place where you usually live) and the nature of the residence was private. During the period the place at which I actually resided was: (State all addresses at which you resided while away from home in the period stated above) I declare that the cost of temporary accommodation is $ per Week. Please specify (✓) if with a dependant spouse ❒ and/or number of dependant children (under 12) (over 12 years). SIGNATURE DATE / / NB: Dependant: People who need your ﬁnancial support and whom you look after. Page 1 of 1 Copyright Entity Solutions Pty Ltd ABN 78 283 903 439
"Living Away from Home Allowance Declaration Form"