This form is to be used to lodge a claim for the liquor subsidy under the Liquor Control Reform Act 1998.
This form has been replaced with an online SmartForm. Old PDF versions of this forms will not be accepted beyond 30 September 2017.
Under section 178(1) of the Liquor Control Reform Act 1998, claimants are obliged to provide any documents or information required to determine a subsidy payment. It is an offence to provide false or misleading information or documents.