PENSIONER LAWN MOWING SCHEME
Enquires: 9366 3666 www.botanybay.nsw.gov.au
ABOUT THIS FORM
Use this form to apply for the lawn mowing scheme. All documents to be required for this application must be lodged together
at the Botany Bay City Council Administration Centre at 141 Coward Street, Mascot between 8.30am and 4.00pm Monday to
Friday or by email or post.
The City of Botany Bay offers a lawn mowing service to assist frail aged and people with disabilities to assist them to remain
independent in their own home. This service is free of charge and lawns are mowed approximately 4 times per year.
About the Scheme
Council has limited resources to provide the service, and with many residents requesting inclusion to the scheme, there are
guidelines in place to ensure that the residents who are most in need are able to access the service. Because of this, there is
a strict criteria for people that will be considered for the scheme.
The criteria is as follows;
i. All adult occupants of the home must be physically incapable of mowing their lawn and should provide a medical
certificate to support this;
ii. All adult occupants must receive a pension/part pension
iii. There are no family or friends who can assist you with mowing the lawn;
iv. The premises are not owned by social or community housing
Note: if you are accepted into the scheme but your circumstances change you need to contact Council immediately to
advise them. If Council reasonably suspects that your circumstances have changed and you have not advised, you will be
suspended until a reasonable explanation is provided otherwise you may be excluded from the Scheme all together.
The personal details requested on this form are collected and used expressly for processing the application. The supply of this information is
voluntary. If you do not provide the requested information Council will not be able to process your application/payment. Acces to information that you
provide is restricted to authorised officers as per statutory requirements. Council is to be regarded as the agency that holds the information. You may
apply for access or amendment to information about you and your dealings with Council.
PART A - Applicant Details
APPLICANT DETAILS
Full Name ADDRESS
Unit/Street No.
Street Name
Suburb/Town
StatePostcode
Phone
Date of Birth
FaxEmail
CORCOM-CMTY-FRM-2
VERSION: 1.0
ISSUE DATE: 26/07/2016
PAGE 1 OF 2
PENSIONER LAWN MOWING SCHEME
BOTANY BAY CITY COUNCIL
PART B - Questionnaire
Please answer all of the following questions
1. Do you live alone?
Yes
No
if no, please provide full name of other person___________________________________________
2. Do you and the other occupants receive a pension/part pension?
No
Yes
if yes, please provide pension numbers ____________________________________
3. Please give details of why you and all other occupants of the home are unable to mow your lawns (please attach a
medical certificate)
Frail/aged
_________________________________________________
Disability
_________________________________________________
Illness
_________________________________________________
Other
_________________________________________________
4. Do you reside in a single dwelling?
No
Yes
5. Do you reside in a Department of Housing or Social Housing dwelling?
No
Yes
6. Are any of your family or friends able to assist you with these duties?
No
Yes
PART C - Declaration
Please understand that Council has a reasonable expectation that family members may assist with these duties if they reside
in the area of in close proximity.
Please return this form attached with a Doctors Certificate in the Reply Paid envelope enclosed.
If you have any queries please call Aged Services on 9669 4640.
After we receive your application, a Community Services staff member will contact you to discuss your application and make
a recommendation to the Manager regarding your eligibility for the scheme.
You will then be advise of the outcome of your application.
I have read and understand the conditions outlined on the application.
I make this declaration believing that all the above information provided is true and correct.
NameSignatureDate
CORCOM-CMTY-FRM-2
VERSION: 1.0
ISSUE DATE: 26/07/2016
PAGE 2 OF 2