Operation Fire Relief Registration

The following form is for the occupant of the property destroyed in the Wooroloo Bush Fires, Western Australia, to express your interest in being considered for fire relief support in the form of a $1,000 Eftpos cash card. All registrations are individually assessed. By completing the following registration form, you are only registering your interest for bush fire relief and this request registration is not a guarantee that you will receive the gift voucher. Approved applications will be notified by email, how to collect the gift voucher.

All correspondence will be sent to this email address. Please ensure it is correct.

Address Details of the Property Destroyed by Fire

Which of the below represents you?*

The submission of this registration is not a guarantee that you will receive the Fire Relief Gift Voucher. All registrations are individually assessed and approved applicants will be notifed by email how to collect the gift voucher. Your information will be sorted in accordance with our privacy policy which can be viewed on our website.