Changes to cost of work

Step 1 of 3 - Your Details

Title *

-- Please Select --MrMrsMsMissDr

First Name *

Last Name *

Company Name

Phone *

Email *

Date *

I certify that the information provided is true and correct to the best of my knowledge *

• Yes
• No

Step 2 of 3 - Building & Construction Work

Customer Name *

Levy Number *

Description of work *

Building and construction work address *

Suburb *

State

ACTNSWNTQLDSATASVICWA

Postcode *

Step 3 of 3 - Cost of Work

Notified cost of work (excluding GST) Enter whole numbers only

Exempted cost of work (excluding GST) Enter whole numbers only

By how much has the cost of work increased or decreased? (excluding GST) *

-- Please Select --Increased by $20,000 or moreIncreased by LESS than $20,000Decreased by $20,000 or moreDecreased by LESS than $20,000

New cost of work (excluding GST) Enter whole numbers only

New exempted cost of work (excluding GST) Enter whole numbers only

New estimated end date

Is an alternative person/company/address required to receive the invoice?

An invoice for additional levy will be issued to person / company / address listed as the Payer on the Notification and Payment Form. If an alternative person / company / address is requried to receive the invoice, please provide the details below.

• Yes
• No

New cost of work (GST exclusive) Enter whole numbers only

After submitting this form, please complete a Levy Refund application form. Supporting documentation is required.

• OK

New cost of work (excluding GST) Enter whole numbers only

Exempted cost of work (excluding GST) - No adjustment to the levy is required as the cost of work has decreased by less than $20,000. Enter whole numbers only

Supporting documents Supporting documents for final costs and exempted costs must be attached.

Alternative contact

Company Name

Address

Suburb

State

ACTNSWNTQLDSATASVICWA

Postcode

First Name

Last Name

Phone

Submit

Date *