Remote Area Benefits

You must maintain a home in Australia that is readily available while living away from home for work.
You can only claim expenses for up to 12 months at a particular work location, after which the benefit may no longer apply, unless the location changes or exceptional circumstances exist.
The reimbursement covers reasonable accommodation and food expenses.
Unless approved, the food component must not exceed the ATO’s specified reasonable limits, as excess amounts may attract Fringe Benefits Tax (FBT).
Please provide documentation supporting your claims, including proof of usual residence, temporary accommodation costs, and food and other incidentals receipts.

Employer (who do you work for?)*

Employer/Payroll Number

Name*

First NameLast Name

Date of birth (DD-MM-YYYY)*

Date

Mobile phone number*

Please enter a valid phone number.

Job Title*

Employment Status *

Pay Cycle*

Work Email*

name@employername.com.au

Personal Email*

name@gmail.com.au

Home Address (Usual Place of Residence):*

Street Address

Street Address Line 2

SuburbState/Region

Post Code

Either my spouse or I have an ownership interest in the property located at the address stated above. This residence remains available at all times for my immediate use and enjoyment while my employment duties require me to live away from it, and it is where I intend to resume living once this period concludes.

From*

Date

To*

Date

Reason for Living Away from Home

(e.g., work assignment, project location)

When the duties of my employment required me to live away from where I usually reside when in Australia, I actually resided at the following address.

Temporary Address (Living Away for Work):*

Street Address

Street Address Line 2

SuburbState/Region

Post Code

LAFHA Allowance Requested (per week)

	Amount per week
Accommodation Expenses:
Accommodation Expenses:
Other Incidental Expenses

Additional Comments if required

Bank Name*

Account Name*

BSB*

Account Number*

Declaration Statement by Employee*

My usual place of residence is at the address listed above as my home address.I am required to live away from my usual place of residence due to work purposes at the location indicated as my temporary address.My current living away from home arrangement is temporary, and I am maintaining a home in Australia.The expenses I am claiming for LAFHA cover reasonable accommodation, food, and incidental costs incurred while living away from home.I understand that if my circumstances change (e.g., relocation, change of residence status), I must notify my employer immediately.I acknowledge that false or misleading information provided in this application could lead to the termination of my LAFHA benefits and may result in financial or legal consequences.

Identifying Documents

PLEASE UPLOAD ALL SUPPORTING DOCUMENTS BELOW FOR VERIFICATION

Required Documentation for Compliance
Please attach/upload the following documents to ensure compliance with ATO requirements for LAFHA:

1. Proof of Usual Place of Residence:

Recent utility bill, rental agreement, or mortgage statement with your home address.

2. Proof of Temporary Accommodation:

Lease agreement, rental receipts, or hotel invoice for the period you are living away from home.

3. Declaration of Living Away from Home:

A statement confirming that your home in Australia is being maintained during your absence for work purposes.

4. Receipts/Invoices for Food and Incidental Expenses:

If applicable, attach any receipts or invoices for meals and incidental expenses incurred while living away from home.

5. Employment Contract or Letter from Employer:

A document confirming that you are required to live away from your usual residence for work purposes, including details of the work location and duration.

Upload Your Identifying Documents*

Please upload your Identifying Documents or any additional supporting documents here

Declarations:

1. No Double Claiming
I declare that neither I nor any associate is claiming the amounts on this form through any other salary packaging facility, nor are the amounts being paid or reimbursed by my employer (or my associate’s employer). Additionally, these amounts are not being, nor will they be, used for any other tax-deductible purpose.
2. Claiming of Unclaimed Purchases Only
I declare that the total amount being claimed on this form is for previously unclaimed purchases only and does not include cash advances, purchases where funds have been refunded, or outstanding balances of previously claimed transactions. I acknowledge that I will be responsible for any Fringe Benefits Tax (FBT) liability resulting from the submission of a duplicate claim.
3. Australian Taxation Office (ATO) Audit
I understand that I may be subject to an Australian Taxation Office (ATO) audit at any time and that I may incur a tax liability on any funds received without legitimate documentation or proof of the claimed expenses.
4. NSP Terms & Conditions
I confirm that I have read and understood the current NSP Terms & Conditions available at nationalsalarypackaging.com.au/termsandconditions, and I agree to be bound by them with respect to my salary packaging activities.

Substantiation and Compliance Declaration and Warranty:

5. Supporting Documentation
I declare that I have attached copies of all necessary documentation to substantiate this claim and warrant that the attached documents accurately substantiate the total amount claimed.
6. Retention of Original Documents
I declare and warrant that I hold, and will continue to hold, the original documentation substantiating all expenses included in my salary package. I will retain these records for seven years in accordance with ATO requirements.
7. Indemnification of Employer
I agree to indemnify my employer against any Fringe Benefits Tax (FBT) liability that may arise due to this salary packaging arrangement, including but not limited to cases where I am unable to produce original documentation when requested by my employer or an authorised representative.

I hereby declare that the information provided above are true and accurate to the best of my knowledge, and without intend to mislead nor to misrepresent any details herein.

I agree to participate in my above-mentioned employer’s salary packaging arrangement and I authorise the nominated salary packaging payments to be made on my behalf.

Privacy Statement and Consent

National Salary Packaging (NSP) is committed to protecting your privacy in accordance with the Australian Privacy Act 1988 (Cth) and the Australian Privacy Principles (APPs). This statement outlines how we collect, use, and safeguard your personal information.

Collection and Use of Information

We collect and use your personal information solely for the purpose of administering your account and providing the salary packaging services you've requested. With your consent, we may occasionally contact you about other relevant products or services.

Data Storage and Security

To deliver our services, we need to securely store and process your personal data. We employ industry-standard security measures to protect your information from unauthorised access, misuse, loss, or disclosure. Our data management systems, including Jotform, use encryption and comply with international security standards.

Third-Party Disclosure

Shante Pty Ltd (trading as National Salary Packaging) may share your personal and credit information with third parties, including credit reporting bodies, credit providers, and parties involved in processing your credit or guarantor application, in compliance with the Australian Privacy Act.

Your Rights

You have the right to access, correct, or update your personal information at any time. You can also opt out of promotional communications or request that we stop processing your data, subject to legal and contractual obligations.

Consent

By ticking the checkbox below, you consent to:

You can unsubscribe from these communications at any time. For more information on how to unsubscribe, our privacy practices, and our commitment to protecting and respecting your privacy, please review our Privacy Policy.

If you do not wish to receive promotional material from NSP or have any questions about our Privacy Policy, please visit NSP Privacy Policy or contact us at 1300 882 578.

Company Information:

Shante Pty Ltd | ABN 80 110 261 768

NSP collecting, storing, and processing your personal information for the purpose of providing salary packaging services.Receiving communications about relevant products and services (please indicate your preferred contact method).

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Disclaimer:

National Salary Packaging (NSP) is a salary packaging administration company. We do not provide financial, tax, or legal advice. The information we offer is intended solely to assist in the administration of salary packaging benefits and should not be construed as professional advice.

We strongly recommend that employees seek independent financial advice before entering into salary packaging arrangements or claiming benefits. It is your responsibility as an employee to ensure your eligibility for the salary packaging benefits you wish to claim.

NSP will not be held liable for:

Any decisions made by employees regarding their salary packaging arrangements.
Any implications arising from the salary packaging of benefits that may not be allowable under applicable tax legislation.
Any financial outcomes resulting from an employee's choice of salary packaging benefits.

By proceeding with this application, you acknowledge that you have read, understood, and agree to the terms of this disclaimer. You also confirm that you have sought or will seek independent financial advice as necessary.

Living Away From Home Allowance (LAFHA)

Contact information

LAFHA Details

Your Personal Savings Bank Account Details