Reference Code:
For enquiries relating to your Duty and Levy Return please contact ACT Revenue Office on 02 6207 0028/link] or via the online feedback form.
Please resolve the following issues before proceeding
Click on an issue to go directly to the related section of the form.
errors found:
warnings found:

Application Received

Duty and Levy Return
Thank you, your submission has been received.

Next steps

You are required to complete these additional forms to finalize your request.
Your Reference Code is:
Please quote your reference code when enquiring about your submission.

For your records

Would you like a copy of this submission for your personal records?
OR

Check your email

We've sent a copy of your submission to your email address ().If you didn't receive it or would like another copy, just select one of the options below.
OR
Duty and Levy Return - Submission confirmation
Your submission has been successful. Please keep a copy of this receipt for your records.
ACT Revenue Office
ABN 45 096 207 205
PO Box 252
Civic Square ACT 2608
Phone: 13 22 81
Duty and Levy Return - form confirmation and request for payment
Your form has been successfully submitted and the confirmation details are as follows:
Payment of the amount payable can be made by either BPAY or Electronic Funds Transfer (EFT) as follows:
BPAY payment details:
EFT to ACT Government nominated account via Off System BSB:
To save a copy of the completed form and receipt, from the File menu select "Save a copy". To print a copy use the Print icon.
ACT Revenue Office
ABN 45 096 207 205
PO Box 252
Civic Square ACT 2608
Phone: 13 22 81

Return type and taxpayer details

Duty and Levy Return
Fields marked with * are required
You are required to lodge your Ambulance Levy return via the Self Service Portal.
For more information on Ambulance Levy, visit the ACT Revenue Office webpage.

General insurance duty return details

Duty and Levy Return
Fields marked with * are required
Please note your return for is for reference month .
x $ %
=

Life insurance duty return details

Duty and Levy Return
Fields marked with * are required
Please note your return for is for reference month .
x $ %
=
x $
=
x $ %
=

Ambulance levy return details

Duty and Levy Return
Fields marked with * are required
Please note your return for is for reference month .
x $
=
x $
=
=
=
divided by 7 equals
=

Declaration

Duty and Levy Return
Fields marked with * are required
warrant my authority to make this declaration and declare that the information provided is true and correct. I also understand that any calculation made as a result of the numbers I enter or any confirmation/invoice displayed as a result of completing this form does not constitute an assessment. I acknowledge that under section 338 of the Criminal Code 2002, giving false or misleading information is a serious offence. I will notify the ACT Revenue Office in writing and provide full details if there is a change in my circumstances during the financial year. This includes change of contact or address details, cessation of trading in the ACT or change in group structure. You can notify us of a change in your circumstances via the ACT Revenue Office website feedback form.
© Copyright Avoka Technologies 2018