HUNTER REGION NILS APPLICATION FORM

Before you begin, please check to make sure you are eligible

To be eligible you must:

have a health care card, pension card or
earn less than $45,000 a year (after tax), or less than $60,000 a year (after tax) for couples or people with children.
have lived in your current or previous residence for at least 3 months.

**Special circumstances may be considered**

STEPS TO APPLY FOR YOUR NILS LOAN

STEP 1: Complete & submit the following application form

STEP 2: Provide your Supporting Documents

**We must have your Supporting Documents before we can book your interview**

STEP 3: We will contact you to arrange a telephone interview

STEP 4: Your application will be submitted for assessment

STEP 5: You will be contacted with the outcome of your application within 24-48 hours (after submitted)

STEP 6: If approved, payment will be made on your behalf, and delivery or pick up details can be organised.

**Please contact us if you need any help**

PERSONAL DETAILS

Date

CLIENT 1

First Name

Last Name

Date of Birth

CRN

Phone

Email

Address

Enter Client 2 Details

CLIENT 2

First Name *

Last Name

Date of Birth

CRN

Phone

Email

Address

The following 2 questions are used for reporting purposes and will have no impact on your application.

If you feel uncomfortable in any way, please select 'Prefer not to answer'.

Do you identify as Australian Indigenous?

Please provide details

Do you identify as having a disability

Please select

Please provide details

HOUSING TYPE

Housing type

Please provide details

Time at current address

If less 0-3 at your current address, please provide your previous address below

Time at previous address

If you have spent less than 3 months at both your current and previous address , please provide details below

SECONDARY CONTACT

First Name *

Last Name *

Phone *

Relationship *

How did you find out about NILS? *

Please provide details

What would you like to purchase? *

HUNTER REGION NILS CCeS AUTHORITY FORM

If you would like us to download your Centrelink Statement for you,
please carefully read and complete the following form.

Centrelink Confirmation eServices

Do you authorise:

Hunter Region No Interest Loans Scheme Inc. (Hunter Region NILS) to use Centrelink Confirmation eServices to perform a Centrelink enquiry of your customer details in order to enable the business to determine if you qualify for a NILS service.
Services Australia to provide the results of that enquiry to Hunter Region NILS and Good Shepherd Australia New Zealand.

Do you understand:

Services Australia will disclose personal information to Hunter Region NILS including your name, payment type, payment status, one off payment, income, assets, deductions, shared care arrangements and Youth Allowance Independent Rate to confirm your eligibility for relevant NILS service.
this consent, once given, remains valid while you are a customer of Hunter Region NILS unless you withdraw it by contacting Hunter Region NILS or Services Australia.
You can get proof of your circumstances/details from the department and provide it to Hunter Region NILS so that your eligibility for relevant NILS service can be determined.
if you withdraw your consent or do not alternatively provide proof of your circumstances/details you may not be eligible for the NILS service provided by Hunter Region NILS.

If you have any questions, please contact us before completing the following:

Do you give your permission for Hunter Region NILS to access your Centrelink details using CCeS?

CLIENT 1

Do you give your permission? *

Name *

Date and Time *

CLIENT 2

Do you give your permission? *

Name *

Date and Time *

CONFIRMATION OF BOARD OR PRIVATE RENT PAID DIRECTLY TO LANDLORD OR HOMEOWNER

Only complete the following section, if you do not pay rent to a real estate agent,
Hume, Compass, Housing etc.

Confirmation of boarding payments or private rent paid directly to the landlord or homeowner is usually confirmed with a Statutory Declaration. However, due to COVID-19 these expenses can now be confirmed by completing the following form.

I

currently live at

I have lived at this address for

Please include your previous address in the 'Additional Notes' section below:

My current board/rental payment is:

per

*Don't forget to include all expenses covered in your current rent or board payment.

If you are happy for us to confirm your board or rental payments, please provide contact details for your housemate or private landlord below:

First Name

Last Name

Phone

Email

Please include any other information to help explain your current housing situation below:

Additional Notes:

NILS CLIENT RIGHTS & RESPONSIBILITIES

NILS is based on trust and the circular community credit model. Every repayment made by current clients is used to lend to others in the community.

Before you submit your application, please take some time to read the information provided below:

CLIENT RIGHTS

Be treated fairly and with respect regardless of your personal circumstances and beliefs.
Be told if you can apply for a loan and how to do so.
Know and agree to what happens to the information we keep about you and your financial situation.
Give feedback or make a complaint without it affecting whether or not you get help from us.
If available, access an interpreter, advocate, or other support person to assist with the NILS application.
Receive a loan without fees, charges or interest if your application is approved.
Be informed about the loan decision making process.
Be referred to financial counselling if you need to.
Put NILS repayments on hold or change the amount you repay if you get into difficulties repaying the loan.
Restart loan repayments if you stop.
Be able to apply for a second NILS loan once you’ve repaid 50% of your current loan if you are eligible (up to a combined total of $1500 if you can afford it).
Be able to apply for another NILS loan (up to a total of $1,500 if you can afford it) if you are eligible once you’ve paid your current loan back.

CLIENT RESPONSIBILITIES

Act in a manner that respects the rights of other clients, staff and volunteers of the organisation.
Give clear information to assess the loan.
Make sure the information you give us is accurate.
Let us know if you’re happy or unhappy with our service without being rude or aggressive.
Tell us if you would like someone with you during the loan interview or to help with the loan application.
Make regular payments and pay the loan back so that someone else in the community can get a loan like you did.
Ensure all information provided is true and correct, and that no false or misleading information is given at any time.
Tell us if you have any financial difficulties now.
Tell us if you have any financial difficulties in the future. Restart payments as soon as possible.
Make regular payments when you restart, tell us if you have any financial difficulties in the future.
Meet the repayment amounts for the first loan and for the second loan.
Be able to meet the repayments for the new loan.

Once you have submitted your application,
please click on the link to view the Supporting Documents List