DOCSLIB.ORG

SA Seniors Card Application Form Oct 2020

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
SA Seniors Card Application Form Oct 2020 Make the most of your Seniors Card Public transport The Seniors Card was introduced by the South Australian The Seniors Card also serves as your metrocard for use on the Government and private enterprise in 1993 to acknowledge and Adelaide Metro public transport system. Simply validate your show appreciation to seniors for the contribution they have made Seniors Card when boarding a bus, train or tram. to their communities in South Australia. The Seniors Card provides a cash-less method of payment during The Seniors Card program provides members with a peak periods where you simply add credit ($) onto your Seniors South Australian Seniors Card range of benefits including public transport concessions and access Card and the metrocard system will deduct the correct fare. to specially discounted goods and services around South Australia. For more information about how to use your Seniors Card The Seniors Card Discount Directory, Your Lifestyle Guide is on the Adelaide Metro public transport system, please visit Application Form updated annually and lists hundreds of business partners that www.sa.gov.au/seniorscard. offer discounts and benefits to Seniors Card members and will be The metrocard ticketing system is administered by the Department posted to you along with your new card. for Infrastructure and Transport. WeekendPlus is a lifestyle-focussed digital magazine for over Please ensure you have ticked the box overleaf if you wish to 60’s that delivers discounts, special offers, news, events and manage your Seniors Card as a metrocard online. If you have not competitions straight to your inbox each fortnight. Make sure ticked the box, you will not be able to access the Adelaide Metro to include an email address in your application or subscribe by website. emailing [email protected]. We are constantly seeking ways to provide you with a better and metroCARD wider range of benefits throughout the year. We may send you information about the latest special offers available to members that are additional to those listed in the annual Seniors Card Discount Directory, Your Lifestyle Guide. The Seniors Card is a lifetime card and will not be reissued unless it is lost, stolen, broken or if you change your name. If you require a new card, use Seniors Card member online services (available at the Seniors Card website) or contact the Seniors Card Unit. The Seniors Card is for personal use and is not transferable to other people including family members, friends or colleagues. Please use this application form if you are applying for a Seniors Card for the first time. What if my circumstances change? Disclaimer and privacy notice If you require a replacement card, please use Seniors Card Your Seniors Card remains valid provided the eligibility criteria The Seniors Card program collects and uses your personal information for the member online services (available at the Seniors Card website) continue to be met. Should your circumstances change, please purpose of administering the program. This includes mailing your Seniors Card, or contact the Seniors Card Unit. notify the Seniors Card Unit as soon as possible. providing you with free and discounted public transport services, government Please complete the application form clearly using information and special offers from participating businesses. BLOCK LETTERS and tick each appropriate box e.g. n4 To enable us to perform these functions, we utilise some external service Contact the Seniors Card Unit providers including a mail house and we may disclose information to these Phone: 1800 819 961 service providers under strict security rules so they can carry out the services Eligibility we have contracted to them. We may provide your information to other To be eligible for a South Australian Seniors Card, (free call, Monday to Friday 9am – 4pm) Government agencies that provide services to members. We may also disclose you must meet all three of the following eligibility criteria: Email: [email protected] personal information with your consent, or if required or authorised by law. The Web: www.sa.gov.au/seniorscard Seniors Card program requires its contractors to treat your personal information > You are 60 years of age or over confidentially and in accordance with the South Australian Information Privacy > You are a permanent resident of South Australia Facebook: www.facebook.com/seniorscardSA Principles (IPPS) Instruction. Seniors Card member online services: Please note that the Seniors Card program does not endorse or guarantee the > You are not working more than 20 hours per week in www.sa.gov.au/seniorscard/onlineservices quality or suitability of any goods or services offered by participating businesses. paid employment (or do not work at all). Hours can be Please make your own evaluation of each product. The Seniors Card program averaged over a 12 month period. does not provide your personal information to participating businesses. By submitting this application form, you confirm To order more of these forms, If you wish to access or alter the personal information we hold about you, that you meet all of the eligibility criteria. please email the Seniors Card Unit. please contact the Seniors Card Unit by phoning 1800 819 961 or emailing [email protected]. October 2020 Cover photo courtesy of Shelley Milbank. Your details Important Declaration and witness Please complete all details: Please tick the following boxes to show you agree and Seniors Card applicant consent to the following statements: I, ___________________________________________________ (name) Date of birth: ________ / ________ / ________ (day/month/year) I would like to receive special offers and > confirm that I meet the eligibility criteria for the Gender: n Male n Female promotions from the Seniors Card Unit. SA Seniors Card, and > confirm that the information I have provided is true You may receive special offers and other information from and correct, and Title: n Mr n Mrs n Ms n Miss the Seniors Card Unit via email (if you have an email address) > agree to advise the Seniors Card Unit immediately if my and post (up to 12 per year). circumstances change. First name:_______________________________________________ You can opt-out at any time by contacting the Seniors Card Unit. Signature of applicant: ______________________________________ Last name: _______________________________________________ I would like to receive WeekendPlus Date: ________ / ________ / ________ (day/month/year) (must provide an email address). Telephone: _______________________________________________ Witness WeekendPlus is a fortnightly digital lifestyle magazine for seniors, delivering news, special offers and competitions to Mobile: ___________________________________________________ I, ___________________________________________________ (name) your inbox. Email address: _____________________________________________ You can opt-out at any time by contacting the Seniors of _______________________________________________________ Card Unit. ___________________________________________________ (address) Country of birth: ____________________________________________ I consent for my personal information to be confirm that: stored by the Department for Infrastructure Language spoken at home: __________________________________ > I am 18 years of age or over, and and Transport and for the purpose of > I am not related to the applicant, and providing me with services associated with > I have sighted the applicant’s date of birth. For statistical purposes, please tick the box which best describes public transport concessions your income status: Proof of age document sighted (please tick relevant box): The Seniors Card is a dual-use card and is used to obtain Birth certificate Drivers licence Passport n Pension/Government allowance concessions on Adelaide Metro’s public transport network. n n n n Fully/partly self-funded (e.g. superannuation/part-time work) If you do not tick this box, you will not be able to n Other (please specify): ___________________________________ access the Adelaide Metro website to manage your Seniors Card as a metrocard for public transport. Signature of witness: _______________________________________ Postal address: ____________________________________________ Date: ________ / ________ / ________ (day/month/year) Complete this form and _________________________________________________________ return to the address or fax Thank you for your application. below, or complete the online application form at You will receive your Seniors Card within 10 business days. www.sa.gov.au/seniorscard. Suburb: __________________________________________________ Office use only Seniors Card Unit PO Box 196 Seniors Card number: _______________________________________ State: ____________________________ Postcode: ______________ Rundle Mall SA 5000 Fax: 8204 2430 Entered by: __________________________ Date: _____ /_____ /_____.
Load more

Recommended publications
  • Your Rights at Retirement
    Your Rights at Retirement A guide to making decisions and navigating your entitlements in later life © Australian Human Rights Commission 2013. This work is protected by copyright. Apart from any use permitted under the Copyright Act 1968 (Cth), no part may be used or reproduced by any process without prior written permission from the Australian Human Rights Commission. Enquiries should be addressed to Communications Team at: [email protected] ISBN 978-1-921449-44-4 Report Preparation This publication was drafted by Mala Wadhera with assistance from Fabienne Baldan, Adriana Siddle and Jacqueline Au Thanks The Australian Human Rights Commission thanks the many government departments, statutory authorities, NGOs and individuals who assisted with the development of this publication This publication can be found in electronic format on the Australian Human Rights Commission’s website at: www.humanrights.gov.au/publications/your-rights-retirement For further information about the Australian Human Rights Commission, please visit: www.humanrights.gov.au or email: [email protected] You can also write to: Communications Team Australian Human Rights Commission GPO Box 5218 Sydney NSW 2001 Cartoons Fiona Katauskas Design and layout Jo Stocovaz Photography Fabienne Baldan Printing Paragon Printers Australasia ii Foreword The Hon Susan Ryan AO Age Discrimination Commissioner Australian Human Rights Commission The idea for this publication came I hope this publication becomes a about when I realised how complex it one-stop-shop reference guide, where is to navigate the services, supports you can find the phone numbers and and the decisions that are part of contact details of the many and various retirement.
    [Show full text]
  • Identity Documents
    Identity Documents Below is the official list of identity documents that are accepted as part of the identification process for any Cited check. As part of this process you will firstly be asked to provide a document that includes Photo ID from the list below, secondly a Date of Birth document and finally a document from the list containing your Full Name. If the combination of these documents does not accumulate to reach the specified 100 point requirement then you will be prompted to provide additional documents to reach the desired status. Points Primary Identity Documents Photo ID Date of Full Birth Name 70 Australian Passport Yes Yes Yes 70 International Passport Yes Yes Yes 70 Australian ImmiCard Yes Yes Yes 70 Australian Birth Certificate No Yes Yes 70 Australian Citizenship Certificate No No Yes Secondary Identity Documents 40 / 25 Australian Driver Licence Yes Yes Yes 40 / 25 Australian Aviation Security Yes No No Identification Card (ASIC) 40 / 25 Australian Maritime Security Yes No No Identification Card (MSIC) 40 / 25 Australian Pensioner Concession Card No No No 40 / 25 Australian Health Care Card No No No 40 / 25 Australian Tertiary Education ID Card Yes No No 40 / 25 Australian Working with Children Check No No No 40 / 25 Australian Teachers Registration Card No No No 40 / 25 Australian Firearms Licence Yes No No Supporting Documents 25 Australian Medicare Card No No No 25 Australian ATO Assessment No No No 25 Australian Superannuation Statement No No No 25 Australian Council Rates Notice No No No 25 Australian Property lease /Rental No No No Agreement 25 Australian Utility Bill No No No 25 Australian Birth Extract No Yes Yes 25 Australian Proof of Age Card (Gov.
    [Show full text]
  • NOW UPDATED with Regional and Rural Discounts
    NOW UPDATED NOW UPDATED with Regional and with Regional and Rural Discounts Rural Discounts CONTENTS Information Page No South Australia Page No Welcome to YourLifeChoices 2 - 8 South Australia Seniors Card information 107 Tips for getting the most out of your 3 South Australia FAQs 109 Seniors Card Regional & Rural South Australia 111 - 112 SA deals and discounts 113 - 125 Australian Capital Territory Page No Australian Capital Territory Seniors 9 Tasmania Page No Card information Tasmania Seniors Card information 126 Australian Capital Territory FAQs 11 Tasmania FAQs ACT deals and discounts 13 - 24 127 Regional & Rural Tasmania 131 - 134 New South Wales Page No TAS deals and discounts 129 - 145 New South Wales Seniors Card information 25 Victoria Page No New South Wales FAQs 27 Victoria Seniors Card information Regional & Rural New South Wales 30 - 32 146 Victoria FAQs NSW deals and discounts 33 - 38 148 Regional & Rural Victoria Sydney & Surrounds 39 152 - 155 VIC deals and discounts Central Coast & Hunter 45 150 - 169 Northern NSW 48 Page No Southern NSW 56 Western Australia Western NSW 59 Western Australia Seniors Card information 170 Western Australia FAQs 172 Northern Territory Page No Regional & Rural Western Australia 176 - 179 Northern Territory Seniors Card information 63 WA deals and discounts 174 - 191 Northern Territory FAQs 64 Regional & Rural Northern Territory 67 - 69 NT deals and discounts 65 - 81 Queensland Page No Queensland Seniors Card information 82 Queensland FAQs 85 Regional & Rural Queensland Queensland 94 - 99 deals and discounts 87 - 106 ACT YourLifeChoices - The Ultimate Seniors Card Discount Guide 1 Welcome to YourLifeChoices Hello and welcome to ‘The Ultimate Seniors Card Discount Guide’ from YourLifeChoices.
    [Show full text]
  • Your Rights at Retirement
    Your Rights at Retirement A guide to making decisions and navigating your entitlements in later life • Revised edition • 2019 © Australian Human Rights Commission 2019. The Australian Human Rights Commission encourages the dissemination and exchange of information presented in this publication and endorses the use of the Australian Governments Open Access and Licensing Framework (AusGOAL). All material presented in this publication is licensed under the Creative Commons Attribution 4.0 International Licence, with the exception of: • photographs and images; • the Commission’s logo, any branding or trademarks; • content or material provided by third parties; and • where otherwise indicated. To view a copy of this licence, visit http://creativecommons.org/licenses/ by/4.0/legalcode. In essence, you are free to copy, communicate and adapt the publication, as long as you attribute the Australian Human Rights Commission and abide by the other licence terms. Please give attribution to: © Australian Human Rights Commission 2019. Your Rights at Retirements: A guide to making decisions and navigating your entitlements in later life • Revised edition • 2019 ISBN 978-1-925917-05-5 Report Preparation This publication was drafted by Mala Wadhera with assistance from Fabienne Baldan, Adriana Siddle and Jacqueline Au. The revised edition was updated by Catherine Earl, Kathryn Proft and Rachel McDonald. Acknowledgements The Australian Human Rights Commission thanks the many government departments, statutory authorities, NGOs and individuals who assisted
    [Show full text]