Form 02 Application for approval of disclosure statement for a proposed distributing co-operative

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Should you require assistance with completing this form please contact Charities branch by telephone on 1300 304 064 (within Australia) or email

This application form and the Form 01 Application for Approval of Proposed Rules of a Co-operative must be submitted to the Registrar at least 35 days before the formation meeting is due to be held, or a shorter period as the Registrar may allow in a particular case.

What do I need to complete an application

To complete the application the following must accompany this form:

  • the estimated costs of formation
  • the active membership provisions of the proposed co-operative
  • the rights and liabilities attaching to shares in the proposed co-operative
  • the capital required for the co-operative at the time of formation
  • the projected income and expenditure of the co-operative for its first year of operation
  • information about any pre-registration contractual obligations of the co-operative under Part 3 Division 5 of the Act
  • any other supporting documents if required
  • complete all of the relevant sections of the application form
  • sign the authorisation and declaration 


fee is payable at the time of lodging this application. Please complete Form 99 with payment submission. 

Lodging the application 

You may lodge the application and pay the fee:

By post

In person 

Department of Mines, Industry Regulation and Safety
Consumer Protection Licensing
Locked Bag 14

Department of Mines, Industry Regulation and Safety
Consumer Protection Licensing
Level 2, Gordon Stephenson House
140 William Street

Consumer Protection
Form – application
Last updated 24 Oct 2017

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