"*" indicates required fields Collection Notice The information we are collecting is necessary to deal with or respond to your enquiry or service request. Your personal information has been collected in accordance with the Information Privacy Act 2009 (QLD) and will not be disclosed outside of Australia. We may not be able to deal with or respond to your request if you choose not to provide your name and contact details. Our Queensland Privacy Policy (QPP) Privacy Policy explains how you may request access to and/or correct your personal information. Our policy also explains how you can complain to us if you consider we have breached our obligations to manage your personal information in accordance with the QPP, and how we deal with privacy complaints.Acknowledgement* I have read and accept the collection notice above. Name* First Last PhoneEmail address for rate notices and reminders* Enter Email Confirm Email Additional email address for rate notices and remindersIf required. Enter Email Confirm Email Property number and address*From your rate notice. Click on the plus to add all properties that this form will apply. e.g. 12345 123 Rate Road Atherton. Add Remove* I agree to have my rate notices and reminders sent to the email address above. The details I have provided are true and correct and I am authorised to make these changes. You must accept the conditions of the collection notice (top of form) and the above statement/s before you can submit this form.
