Emergency Grant Application

Please note: You must be a professional member of the performing arts industry to apply. Applicants are required to be NSW residents, though exceptional circumstances may be considered. Other States have their own Benevolent Funds or similar. CLICK HERE for details.

PLEASE HAVE READY THE FOLLOWING DOCUMENTS AS PDFS  BEFORE PROCEEDING WITH THE APPLICATION

1. SUPPORTING DOCUMENTS (PLEASE COMPILE APPLICABLE DOCS TO A SINGLE PDF)

• Confirmation of current monthly income (payslip, Centrelink letter, etc.)

• A copy of your most recent bank statement

• Letters of support from any medical professional from whom you are currently

  receiving treatment

• Copies of bills or quotes pertaining to extraordinary expenses

2. IDENTIFICATION (PLEASE COMPILE AS A SINGLE PDF)

• Proof of identity confirming your address (drivers licence, or utility bill)

3. PROFESSIONAL BIOGRAPHY OR CV (PLEASE COMPILE AS SINGLE PDF)

• Your professional biography demonstrating your professional

  experience

All information provided in this form is strictly confidential

If your supporting documentation is not attached to your application this may delay processing of your request

The Actors Benevolent Fund of NSW is able to offer small measures to help relieve financial pressure for members of the performing arts community due to the rise in cost of living. Due to the limitation of available funds and volume of need, we may not be able to fully cover all requests for support. It is a requirement that you provide copies of invoices or receipts for expenses for which you are requesting assistance. All assistance is given at the discretion of the management committee of ABFNSW.

EMERGENCY GRANT APPLICATION

First Name *

Last Name *

Email *

Phone *

Address

Street 1 *

Street 2

Suburb *

State *

Postcode *

Country Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory British Virgin Islands Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Côte D'ivoire (Ivory Coast) Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France France, Metropolitan French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard and McDonald Islands Honduras Hong Kong Hungary Iceland India Indonesia Iraq Ireland Islamic Republic of Iran Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea, Democratic People's Republic of Korea, Republic of Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macau Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova, Republic of Monaco Mongolia Monserrat Morocco Mozambique Myanmar Nambia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Réunion Romania Russian Federation Rwanda Saint Lucia Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands Spain Sri Lanka St. Helena St. Kitts and Nevis St. Pierre and Miquelon St. Vincent and the Grenadines Sudan Suriname Svalbard and Jan Mayen Islands Swaziland Sweden Switzerland Syrian Arab Republic Taiwan, Province of China Tajikistan Tanzania, United Republic of Thailand Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom (Great Britain) United States Minor Outlying Islands United States of America United States Virgin Islands Unknown or unspecified country Uruguay Uzbekistan Vanuatu Vatican City State Venezuela Viet Nam Virgin Islands, British Wallis and Futuna Islands Western Sahara Yemen Zaire Zambia Zimbabwe

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Date of Birth *

Usual Industry Occupation *

No. years professional work or Details of Training Course & Institution
*

Agency or Representation (If applicable)

Support Person Name *

Support Person Email *

Support Person Number *

ASSISTANCE REQUESTED
Applicants may apply for a combination of food vouchers and cash, capped at a total value of $1,000.00. ABFNSW may fund all or part of your request at the discretion of the Management Committee. * CASH GRANT FOOD/FUEL VOUCHERS COMBINATION CASH/VOCUHERS

CASH AMOUNT REQUESTED

NUMBER OF VOUCHERS REQUESTED

Please outline the reason you require assistance, including details of any specific bills you require assistance with (300 words max).
*

TO HELP US PROCESS YOUR REQUEST, WE ARE REQUIRED TO ASK YOU FOR THE FOLLOWING:

Your monthly  SALARY or WAGE

Your monthly income from: PENSION

Your monthly income from: BENEFITS

Your monthly income from: INVESTMENTS

Your monthly income from: OTHER

TOTAL MONTHLY INCOME *

Value of your: Savings

Value of your: Property

Value of your: Car

Value of your: Shares/Managed Funds

Value of your: Other assets

TOTAL ASSET VALUE *

Your monthly expenses: Rent/Mortgage

Your monthly expenses:  Food

Your monthly expenses:  Car

Your monthly expenses:  Utilities

Your monthly expenses:  General Expenses

Your monthly expenses:  Debt Repayments

Your monthly expenses:  Other expenses

TOTAL MONTHLY EXPENSES *

Are you living with a PARTNER? * YES NO

If YES do they contribute to household finances? YES NO Not Applicable

Do you have any DEPENDENTS? * YES NO

If you answered yes to any of the above, please provide further details:

UPLOAD SUPPORTING DOCUMENTS as a single PDF: *CancelMax file size: 10mb. File types allowed: pdf

UPLOAD  IDENTIFICATION as a single PDF *CancelMax file size: 10mb. File types allowed: pdf

UPLOAD BIOGRAPHY or CV as a single PDF *CancelMax file size: 10mb. File types allowed: pdf

I understand that the details in this application are confidential and will never be made public. The Actors Benevolent Fund of NSW on behalf of the Actors Benevolent Fund reserves the right to make discreet enquiries about the information provided.   *

I also understand that, should I be granted assistance, I will inform the Actors Benevolent Fund of any changes to my current circumstances which may affect my eligibility for assistance. I also undertake to provide the Fund with any updated information as may be requested from time to time. *

In submitting this form I  agree to abide by the terms and conditions of the grant/program *

Submit Submit Submit

* PLEASE NOTE: A Verification Process may appear after you click SUBMIT. The page will change in shade - scroll up to the top of the page to view the verification window to complete your application.

The ABF Management Committee is currently assessing emergency applications on a fortnightly basis. You will be contacted within 10-14 days with the results of your application. If you have not heard within this time please email info@actorsbenevolentfund.org.au.

The Actors Benevolent Fund of NSW is able to offer small measures to help relieve pressure for members of the performing arts community during this period of crisis. Due to the limitation of available funds and expected need, all support is given at the discretion of the management committee of ABFNSW. 

* Mental health support is offered in addition to the complimentary services accessible through NSW Health Plan. Please speak to your GP about how to access this plan before requesting assistance. We can assist if you need urgent support before the complimentary service becomes available. Please let us know the expected start date for treatment.