I certify that to the best of my knowledge the statements made within this application are true and correct, and I understand that if my request is approved for funding, this request and any subsequent documentation in relation to this funding will form the terms and conditions of the funding provided. I also agree to cooperate with the department to provide any additional information on request that relates to this emergency support.
I authorise officers of the Tasmanian State Service to make any enquiries thought necessary to verify the information I have provided. I understand that if this claim is fraudulent, it will be reported to the relevant authorities.