Use this form to request a levies account number.You will need a levies account number before you can lodge and pay your first return. Account details Select the role that applies to you Levy or export charge payer (own and sell, process or export agricultural, fisheries or forestry products) Collection agent (act on behalf of levy and export charge payers) Given name Family name Mobile Enter digits only; optional leading +. Example: +61412345678 Position in the business Levy business contact (for Levies Online) Given name Surname Email (to receive Levies Online login code) Mobile (to receive Levies Online login code) Position in the business Business details Entity name Business name (if different from Entity Name) Australian Business Number (ABN) Australian Company Number (ACN) If entity is a trust please upload a signed copy of the Trust Deed Upload One file only.5 MB limit.Allowed types: pdf, png, jpeg. Business phone Business mobile Business email Business address (physical address not PO Box) Suburb/town/city State/territory Postcode Is the postal address the same as the business address? Yes No Address (can be a PO BOX) Suburb/town/city State/territory Postcode Levy and charge product detailsSelect the products that apply to you (choose one or more of the options below) Animal products — Please select all that apply Dairy produce Goat fibre Honey Wool Animal slaughter — Please select all that apply Buffalo export Buffalo slaughter Cattle slaughter Deer slaughter Game animals (goats and pigs) Goat slaughter Horse slaughter Macropod slaughter Pig slaughter Ratite slaughter (emus and ostriches) Sheep and lambs slaughter Chickens and eggs — Please select all that apply Eggs Laying chickens Meat chickens Field crops — Please select all that apply Cotton and seed cotton Fodder Grains (coarse grains, grain legumes, oilseeds, and wheat) Pasture seeds Rice Sugarcane Fisheries — Please select all that apply Farmed prawns Forestry — Please select all that apply Forest growers Forest industries products Horticulture — Please select all that apply Almonds Apples and pears Avocados Bananas Cherries Chestnuts Citrus Custard apples Dried grapes Dried tree fruit Ginger Lychees Macadamia nuts Mangoes Melons Agaricus mushrooms Nursery container Olives Onions Papaya Passionfruit Pears Persimmons Pineapples Potatoes Prunes Rubus Stone fruit Strawberry runners Sweet potatoes Table grapes Tea tree oil Turf Vegetables Live animals — Please select all that apply Cattle exporter Cattle owner export Cattle transactions Goat exporter Goat owner export Goat transactions Sheep and lambs exporter Sheep and lambs owner export Sheep and lambs transactions Thoroughbred horses Wine — Please select all that apply Fresh grapes, dried grapes and grape juice (grape research levy) Wine grapes (wine grapes levy) Wine export Privacy notice ‘Personal information’ means information or an opinion about an identified, or reasonably identifiable, individual. The Department of Agriculture, Fisheries and Forestry collects your personal information and information about other individuals (as defined in the Privacy Act 1988) in relation to this form as required and/or authorised under the Primary Industries Levies and Charges Collection Act 2024 and Primary Industries Levies and Charges Collection Rules 2024 for the purposes of assessing your request. If you fail to provide some or all of the personal information requested in this form, the department may be unable to process your request. Information you provide in a return about yourself or other individuals may be used as required or authorised under the Export Control Act 2020. The department may use your personal information to contact you to provide information relating to levies, such as when there are changes to levy rates or to administrative arrangements for payments of levies. The department may disclose your personal information to levy recipient bodies, other Australian Government agencies, persons and organisations where necessary for the purposes described, provided the disclosure is consistent with relevant laws, particularly the Privacy Act. Your personal information will be used and stored in accordance with the Australian Privacy Principles. See our Privacy Policy web page to learn more about accessing or correcting personal information or making a complaint. Alternatively, email our Privacy Officer at privacy@aff.gov.au. Confirm that you have read and understand this privacy notice. Declaration I declare that: I am authorised to submit this form The information contained in this form is true and correct to the best of my knowledge and belief I have the necessary records to support the information contained in this form I have read and understood the Privacy notice and Privacy Policy I understand that: The Primary Industries Levies and Charges Collection Act 2024 imposes heavy penalties for giving false or misleading information, other than minor errors, and for failing to give a return and keep records required under that Act and the Primary Industries Levies and Charges Collection Rules 2024 It is also a criminal offence under the Criminal Code Act 1995 to knowingly give false or misleading information I confirm and understand the statements. Submit
