Application form

These grants are part of assistance measures made under agreements between the Commonwealth Government and State Government of Victoria.

The Small Business and Non-profit Organisation Bushfire Grants Victoria program is intended to help pay for costs of clean-up and reinstatement of eligible small businesses that have suffered direct damage as a result of bushfires.

For full details about the program, available funding, eligibility criteria, and terms and conditions please see the Grants Guidelines Small Business Grant Guidelines, NonProfit Organisation Grant Guidelines.

Before completing an application please review the form and ensure you have all the required documentation ready for uploading. You will not be able to save your application and return to it later.

If you require assistance completing this form, please contact the Victorian Chamber of Commerce and Industry on 03 8662 5160 or at GrantsEnquiries@victorianchamber.com.au.

Incomplete applications will be accepted. We will work to help you find and submit any missing information needed to complete your claim. 

Please note: Loss of income is not covered under this grants program.

Note for farm businesses: Farm businesses are not eligible under this grants program. Primary producers should instead see the Emergency Bushfire Response in Primary Industries Grants on the Rural Finance website.

Please note: File size should not exceed 1MB (per file upload) and the allowed file types are Word, PDF, JPEG, PNG.

About your organisation

Please attach evidence of the number of FTEs and your annual turnover
Please attach evidence of the number of FTEs and your annual turnover
Please attach evidence of your annual turnover (if you employ 20 or more FTEs)
Please attach evidence of your annual turnover (if you employ 20 or more FTEs)
Eligibility criteria
Applicant details
Residential address
NB: You will be contacted separately to provide 100 points of identification by our background screening partner, fit2work.
Business details
Business Owner(s)
(Please select only one)

Primary producers are not eligible for this grant. Instead, please apply to the Emergency Bushfire Response Primary Industries Grants on the Rural Finance website.

Details of losses
Please attach evidence of the losses and/or clean-up and recovery expenses your business has incurred (eg photographs, bank statements, invoices, and/or receipts)
Insurance
33. Please attach evidence of the insurance payout you have / will receive
Alternative support
Bank account details
Supporting contacts
Applicant declaration 47. Please download and read the attached declaration relating to the details in your application and the way your application will be assessed. If you agree with the contents of the declaration in every way without amendment, sign and date the declaration and keep it accessible in a safe place.

Click here to download

1. The unaltered content of the Declaration is true and correct and you make it knowing that making a declaration that you know to be untrue is an offence.

2. If requested by the State government Department of Jobs, Precincts and Regions, you will provide to the Department on request, at its option, either (a) your signed and dated Declaration; or (b) a new Statutory Declaration made under the Oaths and Affirmations Act 2018 (Vic) (Act) in identical terms as the Declaration, and witnessed by a person duly authorised under the Act.

Privacy consent

I acknowledge that the Victorian Chamber of Commerce and Industry ABN 37 650 959 904 (Victorian Chamber) is acting on behalf of the State Government of Victoria to administer the Emergency Bushfire Recovery Response in the Small Business Bushfire Grants Victoria (Program).

By making this Application, I consent to the State Government collecting the non-public information (containing personal information) associated with the business’ ABN held by the Australian Business Register and using it for verification purposes. The State Government will handle my personal information in accordance with its obligations under the Privacy and Data Protection Act 2014 (Vic) (‘Privacy Law’). The State Government will handle my personal information in accordance with its obligations under the Privacy and Data Protection Act 2014 (Vic) (‘Privacy Law’). The relevant department’s privacy policy is available from the Privacy Officer. Email: privacy@ecodev.vic.gov.au.

I consent to the Victorian Chamber using my personal information collected in connection with this Application and disclosing it to government and non-government organisations, including the Australian Taxation Office, for the sole purpose of evaluating the Application and administering the Program.

I acknowledge that:

  • the Victorian Chamber’s Privacy Policy is available on its website and at its offices;
  • I can gain access to personal information (as defined in the Privacy Law) which the Victorian Chamber holds on me in certain circumstances specified by legislation;
  • failing to consent to the collection and disclosure of personal information in the manner described above, and any other information which the Victorian Chamber reasonably requests about me in connection with the Application, may result in this Application not being processed or approved.