Co-operative form 99 - Payment form

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Form last updated 31 March 2021

This payment form may be used for the payment of fees that are specified in the Co-operatives Regulations 2009. NO GST PAYABLE on these fees.

Please ensure this payment form is lodged along with the relevant application form.

Cheque or money order payments may be made payable to the Department of Energy, Mines, Industry Regulation and Safety.

Lodging your application

The application fee/s is payable at the time of lodging this application.

The fees and forms page contains further details about:

  • how to lodge your application;
  • relevant fees; and 
  • other co-operatives forms; 
Consumer Protection
Form – application
Last updated 04 Dec 2023

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