National Rental Affordability Scheme Application to Vary the Conditions of Reservation This is the approved form under Regulation 23A of the National Rental Affordability Scheme Regulations 2008 (the Regulations).You must use this form (in conjunction with the Guidelines for Completing an Application to Vary the Conditions of Reservation) to make an application to vary the conditions of the reservation relating to any of the following: a) b) c) d) e) the dwelling’s location the dwelling’s style the dwelling’s size the dwelling’s special attributes (if any) or the agreed rental availability date for the dwelling. About you 1. NRAS Registration ID (Note: You can only make one application per registration identifier. If you are applying for more than one identifier, you will need to complete a separate application form for each). Enter in your NRAS Registration ID 2. Your Organisation Name Enter in your Organisation Name 3. Your name (Authorised NRAS Contact) Enter in your name 4. Your contact phone numbers Work: Enter in your work contact phone number Mobile: Enter in your mobile contact phone number 5. Your email address Enter in your email address 6. Are you the Applicant in respect of whom the dwellings have been reserved? Yes (go to question 9) No (go to question 7) 7. If you are not the Applicant, who is the Applicant? If you are not the Applicant, enter in who is the Applicant 8. Are you the Approved Agent of the Applicant? Yes please attach evidence of authorisation No only authorised agents may make an application under this Regulation Application to Vary the Conditions of Reservation Version 1 - 25 September 2014 Specific information about the changes sought 9. Complete and attach the Schedule of Changes sought for each reservation. Identify how many pages are attached and how many reservations of allocation they relate to. (Note: the schedule constitutes part of the application form and must be submitted with this form) Number of pages in the attached schedule: Enter in the number of pages in the attached schedule Number of reservations of allocation on the schedule: Enter in the number of reservations of allocation on the schedule General information about the dwellings and the changes sought 10. In what funding round were these incentives allocated? 1 2 3 4 Shovel Ready 11. Why are you unable to deliver the dwelling/s as currently approved and requesting this change? (Note: If insufficient space, attach and clearly label your statement against this question to this application form) Enter in description and evidence for the reason for the change Attach a description and evidence for the reason for the change. If the change is to do with agreed rental availability date or location change, you must provide photographic evidence of dwelling/s progress and construction timeline project plan. Have you attached additional information for this question? Yes No Have you attached evidence as required? Yes No 12. Are there any reasons why the Department should not withdraw these reservations of allocation in accordance with Regulation 14(2) (a), (b) or (c)? Yes please describe and attach any additional evidence in support (Note: If insufficient space, attach and clearly label your statement against this question to this application form) No Provide further information if you checked yes on question 12 Have you attached additional information for this question? Yes No Have you attached evidence as required? Yes No Application to Vary the Conditions of Reservation Version 1 - 25 September 2014 Please note, in assessing your application, the Department may contact you and seek answers to questions or documents under sub-regulation 23A(4). Your answers and documents may also be considered by the NRAS Delegate in determining your application. 13. Are the proposed changes to reservation of allocations affected by a natural disaster? Yes - attach a description and evidence of the natural disaster, including date and time, and an explanation of why a variation is necessary. No If yes, have you attached evidence as required? Yes No 14. Please attach: (a) a statement which sets out all commercial arrangements associated with the proposed variation, including the consideration or monetary value in respect of, arising from, or otherwise associated with the proposed variations; and (b) any documents directly relating to the commercial arrangements, e.g. fees charged to investors, builders or developers Have you attached evidence as required? Yes No 15. Please complete the relevant Assessment Criteria (Attachments A – F) against the original assessment criteria in Schedule 1 that applied in the funding round for the allocation. Applications to vary the conditions of reservation may be assessed against these criteria. Note: the onus is on applicants to address the assessment criteria in full and attach any evidence to support each claim against the relevant criteria. Note: Round 2 use Set 2 Round 3 use Set 3 for dwellings on State or Territory land Round 3 use Set 4 for more than 1000 allocated dwellings Round 3 use Set 5 for Social Housing Initiative Linkages Round 4: use Set 6 Shovel Ready Round: use Set 7 Have you attached evidence as required? Yes No Final check 16. Confirm that you have entered all the relevant details for this request through the NRAS Portal and that all details entered in the NRAS Portal agree with the information in this form. Note: this application will not be processed if the NRAS Portal has not been updated to reflect the contents of this application) I agree that the relevant information has been entered into the NRAS Portal. Note: You should not presume the Department will agree to your application. Any agreement or arrangement an Applicant enters into, which presumes your application being agreed by the Department, is entered into at your risk. Applicants should understand legislative and policy requirements prior to lodging applications. Application to Vary the Conditions of Reservation Version 1 - 25 September 2014 Please note, in assessing your application, the Department may contact you and seek answers to questions or documents under sub-regulation 23A(4). Your answers and documents may also be considered by the NRAS Delegate in determining your application. Certification I certify to the best of my knowledge that the information provided in this application, including the attachments, is correct and complete. Signature: Please print out this form and provide your written signature before either scanning or mailing the form in Date: Submission Once completed, please submit your application form with a complete Schedule of Changes and all supporting evidence identified in this form to nras@dss.gov.au. If you are unable to submit your application form and supporting evidence via email, please post this documentation to NRAS – Programme Management, Department of Social Services, PO Box 7576, Canberra Business Centre ACT 2610. Application to Vary the Conditions of Reservation Version 1 - 25 September 2014 Please note, in assessing your application, the Department may contact you and seek answers to questions or documents under sub-regulation 23A(4). Your answers and documents may also be considered by the NRAS Delegate in determining your application.