LAFHA Form

Important Note

LAFHA period cannot be greater than 12 months

Name
Usual Residential Address
New Residential Address

Please tick Yes or No to all of the following

I am required by the host client to live away from my usual residence
The period I will be living away from home is no longer than 12 months.
The period I will be living away from home is longer than 21 days.
I have an ownership interest in my usual place of residence.
I will retain unconditional access to my usual residence while receiving LAFHA.
I will be subletting my usual residence while receiving LAFHA.
My partner or de-facto will be relocating with me.
One or more adult dependents (excluding my partner/de-facto) will be relocating with me.
One or more children will be relocating with me.
Drag & Drop Files, Choose Files to Upload
Agreement

  • The information I have provided in this checklist is true and accurate.

  • I acknowledge the information provided by Recruitment Hive does not constitute financial or taxation advice. Recruitment Hive recommends that I seek independent financial advice.

  • I understand that any changes to the Living-away-from-home allowance must be made in writing to Recruitment Hive. Employee (Applicant) withdrawal from the Living-away-from-home allowance must be made in writing to Recruitment Hive giving 30 days’ notice.

  • Recruitment Hive accepts no liability should I incur additional income tax or other costs, now or in the future, due to this salary sacrifice claim. I agree to reimburse Recruitment Hive the full cost of any Fringe Benefits Tax liability or penalty resulting from this salary sacrifice claim.



Note: This should not be claimed again in your personal income tax return, as the ATO would consider it to be double-dipping.



By signing this form, I confirm the accuracy of the information provided and authorize The Recruitment Hive Pty Ltd to implement this request.


Clear Signature