Verge Improvement Rebate Claim Form

Required fields are marked with an asterisk (*).

Use this form to claim your rebate after your verge works are complete

The rebate is paid as a reimbursement once your approved verge works are finished. Before you complete this form you should have:

_ An approved City Works Permit (Section 221 authorisation) issued by Council for the verge works
_ Completed the works substantially in line with that approval
_ Tax invoices and/or receipts for the eligible costs you are claiming
_ Photos of the completed verge, and
_ Bank account details for EFT payment.

Please read the Verge Improvement Rebate Program Guidelines before completing this form. Required fields are marked with an asterisk (*).

Secure payment information

Rebate payments are made by electronic funds transfer (EFT) only.

If you are not the adjoining property owner, payment will be made to the owner, or to a bank account nominated in writing by the owner.

Bank details are stored securely in accordance with Council's Privacy Policy and are used only for this rebate payment.

Don't have a City Works Permit yet?

The rebate is only paid on works carried out under an approved City Works Permit for verge development.

If you're planning works, apply for your City Works Permit first via the City Works Guide (Public Realm). Once your works are approved and complete, come back to this form to claim your rebate.

Thinking of claiming the rebate? We recommend contacting Council before you start works to confirm your proposed works will meet the rebate eligibility criteria — email admin@prospect.sa.gov.au or call (08) 8269 5355.

1. Eligibility checklist

Please confirm each of the following before completing this claim. *

The property is within the City of Prospect local government area.
I have an approved City Works Permit (Section 221) for the verge works covered by this claim.
The verge works are now complete and substantially match what was approved in my City Works Permit.
I have read the Verge Improvement Rebate Program Guidelines.
The works did not include artificial grass, synthetic turf, impermeable paving, decorative structures or any other ineligible items listed in the Guidelines.
If I am not the adjoining property owner, I have attached written owner authority and understand the rebate will be paid to the owner.
I have not previously received a Verge Improvement Rebate for this property.
Before works commenced, the verge was predominantly bare, compacted, weedy or otherwise un-landscaped. (Verges already landscaped to a standard consistent with Council's Verge Development Policy are not eligible).
The tax invoices and receipts I'm claiming are dated on or after the date my City Works Permit was issued.

2. Applicant details

Full name *

Applicant type *

Owner (adjoining property)
Tenant / occupier (owner authority required — payment to owner only)
Builder / managing agent (owner authority required — payment to owner only)
Other (please specify below)

If 'Other', please specify

Email address * We'll send your claim outcome and payment confirmation to this address.

Phone number *

Postal Address Only required if different from the property address below.

3. Property and permit details

Address of property adjoining the verge *

Assessment number Optional. Found on your rates notice.

City Works Permit reference number * From your approval letter or email for the verge works

Date your City Works Permit was issued *

Date works were completed * Your rebate claim must be lodged within three months of works completion.

Are you the adjoining property owner? *

If no, owner name

Owner contact details Phone and/or email. You must also attach the owner's written authority — see Section 8.

4. Summary of works completed

Brief description of the works you completed * Two or three sentences. Include the area landscaped (approx. m²), plants used, and materials (soil, mulch, edging, etc.).

Did the completed works differ in any way from what was approved? * Minor variations are usually fine. Significant variations may affect your rebate.

If yes, please describe the variations For example: changed plant species, different mulch type, adjusted layout. Explain why.

5. Eligible costs

List each tax invoice or receipt you're claiming. Costs must relate directly to the approved verge works and must be dated on or after your permit issue date. Upload each invoice/receipt as an attachment (Section 7). * Each claim needs to include: Supplier/contractor _ Invoice/receipt number _ Date _ Description _ Amount including GST

Rebate amount claimed (50% of eligible costs [including GST] up to a maximum of $1,000 per property) * The rebate paid will be the lesser of the amount claimed, the actual eligible cost incurred, or $1,000 per property. If you're claiming 50% of costs (per the program guidelines), enter half of your total eligible costs — capped at $1,000.

6. Payment details

Account name *

BSB Number *

Account Number *

Remittance email Optional — where we'll send your payment remittance advice.

7. Attachments — upload with your claim

Tax invoices and/or itemised receipts for every cost listed in Section 5 * Accepted file types: PDF, JPG, PNG. Maximum 10 MB per file.

Photos of the completed verge — at least 2, from the street view, showing the full verge as installed *

Close-up photos showing planting detail, mulch and any edging

A copy of your approved City Works Permit This is helpful if Council has changed officers since approval.

Written owner authority Required if you are not the adjoining property owner.

Any further information Council has reasonably requested.

Complete section 8 below only if the applicant is not the adjoining property owner. The owner's signature below authorises this rebate application and confirms payment will be made to the applicant.

Owner authorisation statement

I am the owner of the property adjoining the verge identified in this claim.

I authorise the submission of this rebate claim and confirm that I am responsible for the ongoing maintenance of the verge improvement unless Council advises otherwise.

8. Property owner authorisation

Owner name

Owner phone

Owner email

9. Declaration

Acknowledgement *

I declare that the information provided in this claim is true and correct to the best of my knowledge.
I certify that the completed works are substantially in accordance with the City Works Permit issued by Council, and that all materials and plants used meet the program's eligibility criteria.
I certify that the tax invoices and receipts submitted relate solely to the approved verge works and have not been claimed under any other rebate or program.
I understand that Council may inspect the completed works before payment is made, and may reduce or refuse the rebate if the completed verge differs materially from the approved proposal, is incomplete, or does not meet Council's requirements.
I acknowledge that ongoing maintenance of the verge improvement is my responsibility unless Council advises otherwise.
I consent to Council collecting, retaining and using the information provided for the purpose of administering this program, in accordance with Council's Privacy Policy.

Applicant signature *

Applicant name (please print) *

Date *

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