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 form are no longer accepted.
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.