Application for penalty waiver Print | Email Application details Amount you would like remitted* Invalid Input Instalment number* Invalid Input Assessment number* Invalid Input This is available on your rates invoice Reason you are requesting a penalty waiver:* Invalid Input Applicant's details First name* Invalid Input Middle name* Invalid Input Surname* Invalid Input Phone number* Invalid Input Email* Invalid Input Property address* Invalid Input Postal address (if different from above) Invalid Input Please tick the box:* Invalid Input