FORM CER-RET-032 V1.0 12/01/2018 Appendix A: Additional liable entity Exemption certificate - electricity use method under the Renewable Energy (Electricity) Act 2000 Purpose of this form This form is to be completed for each additional liable entity that is providing electricity for the Emissions-Intensive Trade-Exposed (EITE) activity at the site and lodged in conjunction with the 2018 Application for an exemption certificate (CER-RET-032) under the Renewable Energy (Electricity) Regulations 2001 (the Regulations). Instructions for completing the appendices Please read each part of the appendix carefully, fully answer all the questions, sign where indicated, and attach the required documentation. If there is insufficient space to complete your answer, please provide the answer as an attachment. Please reference and label attachments in a logical manner. Lengthy or large attachments may be provided in electronic format instead of being posted. You can choose to complete this form by: 1. printing the application form and filling it in by hand, or 2. saving the application form and filling in an electronic copy. Note that if you choose the second option, you will also need to print certain sections in order to sign them. V1.0 12/01/2018 Appendix A: Additional liable entity, Exemption certificate – electricity use method 1 of 6
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FORM
CER-RET-032V1.0 12/01/2018
Appendix A: Additional liable entity Exemption certificate - electricity use methodunder the Renewable Energy (Electricity) Act 2000
Purpose of this formThis form is to be completed for each additional liable entity that is providing electricity for the Emissions-Intensive Trade-Exposed (EITE) activity at the site and lodged in conjunction with the 2018 Application for an exemption certificate (CER-RET-032) under the Renewable Energy (Electricity) Regulations 2001 (the Regulations).
Instructions for completing the appendicesPlease read each part of the appendix carefully, fully answer all the questions, sign where indicated, and attach the required documentation.
If there is insufficient space to complete your answer, please provide the answer as an attachment.
Please reference and label attachments in a logical manner. Lengthy or large attachments may be provided in electronic format instead of being posted.
You can choose to complete this form by:
1. printing the application form and filling it in by hand, or
2. saving the application form and filling in an electronic copy.
Note that if you choose the second option, you will also need to print certain sections in order to sign them.
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Pen colours Please use a black or blue pen to write on the form.
Check boxes Mark boxes like this with a ✔ or ✘. When an instruction asks you to ‘tick’ the box, you can use either ✔ or ✘.
Go to Where you see an instruction, Go to question 5, mark the relevant box with a ✔ or ✘and then skip to the question number shown. You do not need to answer the question(s) in between.
Where an instruction has a black double arrow, , go to the next indicated part or section.
Where an instruction has a black single arrow, , go to the next question.
Where an instruction has a black single arrow pointing down, , fill in the field(s) below.
Mandatory questions
If the question is mandatory, required is added to the end of the question.
When a question is mandatory upon certain conditions being met, required if any, is added to the end of the question.
This symbol indicates what to do next.
This symbol indicates additional useful guidance.
This symbol advises that more than one entry may be required and you may need to photocopy or print the section or fill in a duplicate.
This symbol advises that supporting documentation may need to be attached.
Help filling in this form
Guidance for filling in this form is available on the Clean Energy Regulator website 1 .
If you require assistance or have any questions regarding this application process, please contact the Clean Energy Regulator via email at [email protected] or on the general enquiries line 1300 553 542.
1 http://www.cleanenergyregulator.gov.au/RET/Forms-and-resources/Forms-and-resources-for-industry
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Appendix A: Additional liable entity Appendix A is to be used to provide details of each additional liable entity providing electricity to the site at the
time of application.
You must complete Appendix A for each additional liable entity
1. Liable entity details. (required)
Provide the unique code and name of the additional liable entity.
A unique code is allocated to each liable entity at question 30 of the application form.
Company name is the name that appears on the Australian Business Register.
Unique code Company name
Provide the trading name if any.
Trading name
Which name is used in the Renewable Energy Certificate (REC) Registry?
Company name
Trading name
Provide the ABN for the liable entity.
ABN
Do you give the Clean Energy Regulator permission to provide the Exemption certificate, Exemption determination calculator and the Notice of exemption amount to the liable entity specified above?
If yes, this will be provided to the liable entity at the same time it is provided to the prescribed person.
Document Permission
Exemption certificate
No
Yes Provide contact details below
Exemption determination
calculator
No
Yes Provide contact details below
Notice of exemption
amount
No
Yes Provide contact details below
Provide the liable entity contact person’s full name.
Title (e.g. Mr, Mrs,
Dr)
Given name(s)
Last name
Provide the person’s position.
Position
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Provide the person’s contact details.
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Phone number
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