Accessibility Ramp Rebate

Contact Details

Business Details

Business Name *

First Name *

Last Name *

Email Address *

Phone *

ABN *

Business Address *

Street address *Street address line 2

City *

State *

Postcode *

Proof of Business in Orange LGA *

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Please upload your proof of business operation in the Orange LGA. (e.g. copy of rates notice, bill, business registration) You must operate your business in the Orange Council local government area to be eligible for this rebate.

Product Purchase Date *

Products Purchased

Proof of Purchase

Please upload your proof of purchase (e.g. receipt, emailed invoice, screen capture) clearly showing date of purchase (must be after 1 September 2025), cost and details of item purchased.

Receipt 1 *

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Receipt 2

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Bank Account Details

Your rebate will be deposited into this account within 28 workings days of your application.

Account Name (eg. Ms JE Smith) *

Bank Name *

BSB Number *

Bank Account Number *

Terms and Conditions

The rebate of up to $200 of a total purchase per business will be paid as a bank transfer directly into your nominated account upon receipt of this application form and verification of eligibility by Orange City Council as per the conditions listed on this application. I acknowledge the “Access Orange” rebate is capped to $2,000 overall.
I agree to claim only for items purchased from 1 November 2025.
I agree to refund the rebate amount to Orange City Council if I return or exchange any of the products within twelve (12) months.
I have completed this Application Form as accurately as possible. The information contained in this Application Form is truthful and correct and I am eligible for the rebate. Providing false, misleading or incomplete information may impact the ability of Orange City Council to accurately assess my application.
I have read and understand the Eligibility Conditions, including the Privacy Statement and agree that by signing this application I accept those terms and conditions.

I have read and agree with the above Terms and Conditions *

Signature *

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Date *

Privacy Protection Notice

This complete form contains personal and business information that is being collected for the purpose of providing a refund under the 'Access Orange' initiative for subsidised access ramps for local businesses.

Provision of this information is voluntary, however, if insufficient information is provided, we will be unable to process your application. The information will be stored in Council's business systems.

We will not disclose your personal or business information to anyone else, unless you have given consent, or we are authorised or required to do so by law. Our Privacy Management Plan explains the lawful grounds on which we collect, use, disclose and transfer personal and business information. It also explains how you can seek access to, or amendment of the personal and business information we hold about you, and who to contact if you have a privacy enquiry or complaint.

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