Centrepay Deduction Authority

Tenant Name

Tenant ID

Address

Date of Birth

Date

Email

example@example.com

CRN

Phone

I authorise Services Australia (the Agency) to make a Deduction and pay this amount to Pacific Link Housing Limited, CRN 555 012 069A, with the following details:

	Amount	Target	Reason for deduction (rent/water/cleaning)	Frequency (fortnightly or one payment	Centrelink Benefit	Start Date	End Date (only enter date if required and NOT already entered target amount)
1
2
3
4

Note: If a Deduction has a target amount and the final deduction is set to pay less than $2, the second last Deduction will be increased up to $2 to cover the final amount. Minimum payment is $10. This form is for new Centrepay/ rent arrear setup or for this one payment only. Must be submitted within 3 business days from the date of obtaining.

2. I authorise Pacific Link Housing to advise Services Australia (the Agency):

• to change my existing Centrepay deduction from time to time to ensure my housing payments are met, and

• to disclose my information to Services Australia (the Agency) for the purpose of checking my address, rent amount, account number, billing number and amount I want to pay, and for reconciling my payment Deduction details

• information for the purpose of reconciling my payment deduction details.

3. I give permission for Pacific Link Housing to give Services Australia (the Agency) my correct address, rent amount, account and billing number if required.

4. I understand that:

• this consent, once signed, is effective for the service/s indicated, and only for the period that I am a customer of Pacific Link Housing

• I can contact Services Australia (the Agency) to cancel my Centrepay deduction at any time, however, I will be required to make alternative arrangements to pay my rent including any rent owing

• if I cancel my Centrepay deduction, I will be required to give a new consent deduction authority before Pacific Link Housing can restart a deduction

• every time that Pacific Link Housing provides information to Services Australia (the Agency) for Centrepay, the Agency will advise me in writing

• Pacific Link Housing will maintain a record of my consent for a minimum of 2 years from the date I cease to be a customer of pacific link Housing. I must tell Services Australia (the Agency) if:

o I change my address or my relationship status changes

o I start or stop sharing my accommodation with anyone else

o I purchase or sell any real estate.

Tenant Name

Signature

Date

1. Centrepay

Centrepay is a voluntary, free and direct bill-paying service. You can choose to have your rent amount deducted from your Centrelink payments and paid directly to us.

Each fortnight the balance of your Centrelink payments is paid into your nominated bank account as it would be normally.

How does it work?

You, as the tenant, will need to set up a Centrepay deduction. This can be done via:

• Online: use your Centrelink online account via myGov

• Telephone: call the department on your regular payment number. You will be asked to give your consent.

• In person: visit a Service Centre

• Multiple Consent Form

• Through our Business: we are able to organise your Centrepay Deductions for you. You will need to provide your consent for a Deduction to be made.

Once your deductions are set up, you may agree to allow Pacific Link Housing to update your Centrepay deduction, if your rent amount changes. We will obtain your consent prior to contacting the department to tell them of the new rent amount payable.

The department will pay us the amount and will send us statements each month.

What details are exchanged?

We will tell the department:

• to change your existing Centrepay deduction or target amount from time to time to ensure your housing payments are met, and

• of your correct account or billing number if required.

How will the information be used?

The information will be used to ensure the correct amount of rent is being deducted and paid.

Why use these services?

• These are free services.

• You will save time by not having to phone or pick up an income statement or Rent Certificate.

• It is easy and convenient because we will contact the department on your behalf.

What do I do if I want to stop one or all of the services?

You can cancel one or all of the services at any time by contacting us or the department.

By cancelling your Centrepay deduction, Income Confirmation or EVOR, you are removing your consent.

We cannot make a deduction unless you provide your consent. If you cancel your Centrepay deduction and still need to pay us rent, you will need to make alternative arrangements with us to pay your rent to ensure you don’t fall behind.

Also, if you withdraw your consent for us to use CCeS or EVoR you will need to provide the information to us (that we would have received from the department electronically).

If you would like more information visit humanservices.gov.au