Office Use Only
Brisbane City Council

Getting started

CC10868 - Rates Account Authority
Fields marked with * are required
Privacy Statement
The personal information collected on this form will be used by Brisbane City Council for the purposes of undertaking associated Council functions and services. Your personal information will not be disclosed to any third party without your consent, unless this is required or permitted by law.
Note: rollover or click
Brisbane City Council
for access to additional information
Use this form to:

authorise a nominated person/organisation to transact on your rate account on your behalf; or
terminate an existing authority
This form does not need to be completed for real estate agents, managers or property/building managers who currently have or will have the rate account sent to them. To have the rate account sent care-of another party requires a change of address.

Property owner’s details

CC10868 - Rates Account Authority
Fields marked with * are required

Advice type

I want to: *

Applicant type

Who is the registered property owner? *

Corporation/Incorporated Association details

Do you have an Australian Business Number (ABN)? *

If you do not hold a current ABN, you will be required to complete a ‘Statement by a Supplier’ form (available from the Australian Taxation Office) before entering into any funding agreement with the Australian Government.

Name of contact person

Address details

Individual/s details

Properties

CC10868 - Rates Account Authority
Fields marked with * are required

Rate Account Details No.

Please provide the following:

Rate Account number (refer to page 3 of the rate account) *
property no.
Select the button if you want to add another rate account.

Terminate date

Date to terminate Authority *

Select the date you wish to terminate the Authority

Nominated party

CC10868 - Rates Account Authority
Fields marked with * are required

Nomination

I am nominating the following to act on my behalf: *

Corporation/Incorporated Association details

Does the organisation have an Australian Business Number (ABN)? *

If you do not hold a current ABN, you will be required to complete a ‘Statement by a Supplier’ form (available from the Australian Taxation Office) before entering into any funding agreement with the Australian Government.

Name of contact person

Address details

Do you want your rate notice/s to be issued care of the nominated organisation above? *

Do you wish to nominate a date to terminate this Authority? *

Date to terminate Authority *

Select the date you wish to terminate the Authority

Individual/s details

Do you want your rate notice/s to be issued care of the nominated person above? *

Do you wish to nominate a date to terminate this Authority? *

Date to terminate Authority *

Select the date you wish to terminate the Authority

Attachments

CC10868 - Rates Account Authority
Fields marked with * are required

Upload attachments

You can browse your computer’s folders and select your documents for upload (Word, PDF, JPG file types ONLY, either individual or bundled in a ZIP file). You can also drag a file into the Drop container (arrow up image), but please drag it one at a time as the system needs to scan every file before uploading it.
File size
Each file size should be less than 10MB. If the total size limit of 20MB is reached, an alert message will appear. To continue with the lodgement of the form, delete the uploaded document and select the option ‘I will provide it LATER’. You will then be required to provide any additional attachments via email to Council Rate department immediately after submitting this application. Please include the submission reference number, provided after the submission of this form, in the subject line of your email.
You have returned to the form after submission. Please re-upload all the required attachments.

You are required to attach the following relevant documents if applicable to support your application:

Power of Attoney
Please note: The State Government’s DA forms need to be completed in full, if you have any issues with answering any questions within the forms, please visit the DA forms Guide on Queensland Government’s website for instructions on filling out the forms. If these forms are not completed, the application will not be considered ‘properly made’ under the Planning Act 2016 and Council will send you an email requesting further information.
Power of Attoney
Brisbane City Council
File:
I will provide it LATER
Court
Please note: The State Government’s DA forms need to be completed in full, if you have any issues with answering any questions within the forms, please visit the DA forms Guide on Queensland Government’s website for instructions on filling out the forms. If these forms are not completed, the application will not be considered ‘properly made’ under the Planning Act 2016 and Council will send you an email requesting further information.
Court
Brisbane City Council
File:
I will provide it LATER
Tribunal
Please note: The State Government’s DA forms need to be completed in full, if you have any issues with answering any questions within the forms, please visit the DA forms Guide on Queensland Government’s website for instructions on filling out the forms. If these forms are not completed, the application will not be considered ‘properly made’ under the Planning Act 2016 and Council will send you an email requesting further information.
Tribunal
Brisbane City Council
File:
I will provide it LATER
Guardianship
Please note: The State Government’s DA forms need to be completed in full, if you have any issues with answering any questions within the forms, please visit the DA forms Guide on Queensland Government’s website for instructions on filling out the forms. If these forms are not completed, the application will not be considered ‘properly made’ under the Planning Act 2016 and Council will send you an email requesting further information.
Guardianship
Brisbane City Council
File:
I will provide it LATER
Administrative Order
Please note: The State Government’s DA forms need to be completed in full, if you have any issues with answering any questions within the forms, please visit the DA forms Guide on Queensland Government’s website for instructions on filling out the forms. If these forms are not completed, the application will not be considered ‘properly made’ under the Planning Act 2016 and Council will send you an email requesting further information.
Administrative Order
Brisbane City Council
File:
I will provide it LATER
Optional supporting documents (if any)
Optional supporting documents
Brisbane City Council
File:
I will provide it LATER

Agreement

CC10868 - Rates Account Authority
Fields marked with * are required

Applicant’s authorisation and signature

I, the registered property owner named in this form, hereby:
1.
authorise the nominated person/organisation named in this form to act on my behalf with Brisbane City Council ("Council") and represent my interest regarding my rate account(s) listed in this form for the following specified purposes:
(a)
notifying Council of changes to my postal address for my rate account(s); and
(b)
making enquiries and disclosing to, receiving from and exchanging with Council informaiton (including personal, financial and property ownership and occupation information) about me, my property(s) and my rate account(s).
2.
consent to Council and the named nominated person/organisation disclosing to, receiving from and exchanging with the other information (including personal, financial and property ownership and occupation information) about me, my property(s) and my rate account(s) for the purpose of dealing with my rate account(s).
Applicant
Signature
Signature
I acknowledge Queensland State Laws will accept this communication as containing my signature within the meaning of the Electronic Transactions (Qld) Act 2001.

Lodgement

CC10868 - Rates Account Authority
Fields marked with * are required

Online submission

Are you ready to submit this form? *

If you don't have all required information or for any other reason you are not ready to complete your submission at this time, you can save the form online and return to complete it when ready.
Please select the Save and Close button at the top of the page.
If you are ready to submit your application please select the Submit button at the bottom of the page.

Receipt

CC10868 - Rates Account Authority
Fields marked with * are required
Your form has been successfully submitted. Please keep a copy of this acknowledgement for your records.
To save or print a copy of the completed form and acknowledgement go to the "File" menu and select "Save as" or "Print".
Your submission details: