NORFOLK ISLAND
[Consolidated as at 24 May 2014 on the authority of the Administrator and in accordance with the Enactments Reprinting Act 1980]
TABLE OF PROVISIONS1. Short title 2. Commencement 3. Principal Act 4. Exempt persons – prescribed amounts 5. Application for exemption under section 10 6. Application for suspension under section 11A 7. Time for making an application under section 10 or 11A 8. Time for lodging application for review Schedule
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1. These Regulations may be cited as the Healthcare Levy Regulations 2012.
2. These Regulations take effect on 1 June 2012.
Principal Act
3. The Healthcare Levy Act 1990 is the principal Act.
Exempt persons – prescribed amount
4. In accordance with subsection 10(2) of the principal Act, the amount prescribed for the purposes of subsection 10(1) is $6,500 in lieu of the amount of $3,500.
5. For the purposes of section 10 of the Healthcare Levy Act 1990, Form 1 in the Schedule is prescribed.
Application for suspension under section 11A
6. For the purposes of section 11A of the Healthcare Levy Act 1990, Form 2 in the Schedule is prescribed.
Time for making an application under section 10 or 11A
7. An application made under section 10 or section 11A in respect of a levy period must be made and have been received by the Minister no later than 30 days after the levy day of that levy period.
Time for lodging application for review
8. A person intending to apply under section 17 for the review of a declaration of the Minister made under section 10 must lodge the application with the Clerk no later than 28 days following the service upon the person of the declaration of the Minister.
SCHEDULE
Form 1
(Section 10 of the Healthcare Levy Act 1990)
STATUTORY DECLARATION
Commonwealth of Australia Statutory Declarations Act 1959
1 | Insert the name/s, address and occupation of person/s making the declaration | I / We, 1 |
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| make the following declaration under the Statutory Declarations Act 1959 (Commonwealth): |
2 | Set out matter declared to in number paragraphs |
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THIS FORM IS TO BE USED WHEN CLAIMING AN EXEMPTION FROM PAYMENT OF THE LEVY ON GROUNDS OF INCOME (UNDER SECTION 10 OF THE HEALTHCARE LEVY ACT 1990)
INCOME DETAILS
Please complete the following: all questions should be answered stating total income received for the 6 months prior to the relevant levy day. If NIL state NIL.
Salaries and wages | $_________ | $_________ | $_________ |
Self employed income | $_________ | $_________ | $_________ |
Superannuation | $_________ | $_________ | $_________ |
Rents received | $_________ | $_________ | $_________ |
Dividends received | $_________ | $_________ | $_________ |
Income from primary productions — |
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(a) Sale of palm seed | $_________ | $_________ | $_________ |
(b) Sale of cattle | $_________ | $_________ | $_________ |
(c) Sale of produce | $_________ | $_________ | $_________ |
(d) Other (specify) _______________________ | $_________ | $_________ | $_________ |
Interest received from banks, building societies, credit unions etc, include all overseas source income | $_________ | $_________ | $_________ |
Other income — please give details | $_________ | $_________ | $_________ |
TOTAL |
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IMPORTANT: THIS DECLARATION FORM MUST BE RETURNED TO THE HEALTHCARE MANAGER FOR PROVISION TO THE MINISTER WITHIN 30 DAYS AFTER LEVY DAY. LATE DECLARATIONS WILL NOT BE ACCEPTED
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| I understand that a person who intentionally makes a false statement in a statutory declaration is guilty of an offence under section 11 of the Statutory Declarations Act 1959 (Cth), and I believe that the statements in this declaration are true in every particular. | |
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3 | Signature of person making the declaration |
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4 | Place | Declared at 4 on 5 of6 | |
5 | Day |
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6 | Month and year |
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| Before me,, | |
7 | Signature of person before whom the declaration is made (see over) |
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8 | Full name, qualification and address of person before whom the declaration is made (in printed letters) |
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Note 1 A person who intentionally makes a false statement in a statutory declaration is guilty of an offence, the punishment for which is imprisonment for a term of 4 years — see section 11 of the Statutory Declarations Act 1959 (Cth).
Note 2 Chapter 2 of the Criminal Code applies to all offences against the Statutory Declarations Act 1959 (Cth) — see section 5A of the Statutory Declarations Act 1959 (Cth).
A statutory declaration under the Statutory Declarations Act 1959 may be made before –
(1) a person who is currently licensed or registered under a law to practise in one of the following occupations:
Chiropractor Dentist Legal practitioner
Medical practitioner Nurse Optometrist
Patent attorney Pharmacist Physiotherapist
Psychologist Trade marks attorney Veterinary surgeon
(2) a person who is enrolled on the roll of the Supreme Court of a State or Territory, or the High Court of Australia, as a legal practitioner (however described); or
(3) a person who is in the following list:
Agent of the Australian Postal Corporation who is in charge of an office supplying postal services to the public
Australian Consular Officer or Australian Diplomatic Officer (within the meaning of the Consular Fees Act 1955 (Cth))
Bailiff
Bank officer with 5 or more continuous years of service
Building society officer with 5 or more years of continuous service
Chief executive officer of a Commonwealth court
Clerk of a court
Commissioner for Affidavits
Commissioner for Declarations
Credit union officer with 5 or more years of continuous service
Employee of the Australian Trade Commission who is:
(a) in a country or place outside Australia; and
(b) authorised under paragraph 3(d) of the Consular Fees Act 1955 (Cth); and
(c) exercising his or her function in that place
Employee of the Commonwealth who is:
(a) in a country or place outside Australia; and
(b) authorised under paragraph 3(c) of the Consular Fees Act 1955; and
(c) exercising his or her function in that place
Fellow of the National Tax Accountants’ Association
Finance company officer with 5 or more years of continuous service
Holder of a statutory office not specified in another item in this list
Judge of a court
Justice of the Peace
Magistrate
Marriage celebrant registered under Subdivision C of Division 1 of Part IV of the Marriage Act 1961 (Cth)
Master of a court
Member of Chartered Secretaries Australia
Member of Engineers Australia, other than at the grade of student
Member of the Association of Taxation and Management Accountants
Member of the Australasian Institute of Mining and Metallurgy
Member of the Australian Defence Force who is:
(a) an officer; or
(b) a non-commissioned officer within the meaning of the Defence Force Discipline Act 1982 (Cth) with 5 or more years of continuous service; or
(c) a warrant officer within the meaning of that Act
Member of the Institute of Chartered Accountants in Australia, the Australian Society of Certified Practising Accountants or the National Institute of
Accountants
Member of:
(a) the Parliament of the Commonwealth; or
(b) the Parliament of a State; or
(c) a Territory legislature; or
(d) a local government authority of a State or Territory
Minister of religion registered under Subdivision A of Division 1 of Part IV of the Marriage Act 1961 (Cth)
Notary public
Permanent employee of the Australian Postal Corporation with 5 or more years of continuous service who is employed in an office supplying postal
services to the public
Permanent employee of:
(a) the Commonwealth or a Commonwealth authority; or
(b) a State or Territory or a State or Territory authority; or
(c) a local government authority;
with 5 or more years of continuous service who is not specified in another item in this list
Person before whom a statutory declaration may be made under the law of the State or Territory in which the declaration is made
Police officer
Registrar, or Deputy Registrar, of a court
Senior Executive Service employee of:
(a) the Commonwealth or a Commonwealth authority; or
(b) a State or Territory or a State or Territory authority
Sheriff
Sheriff’s officer
Teacher employed on a full-time basis at a school or tertiary education institution.
Form 2
(Section 11A of the Healthcare Levy Act 1990 “the Act”)
HEALTHCARE LEVY ACT 1990
APPLICATION FOR SUSPENSION TO PAY HEALTHCARE LEVY AND MEDICAL EVACUATION (MEDIVAC) LEVY
This Form is to be used when claiming a suspension of liability to pay the above Levies (under Section 11a of the Act) due to alternative Health cover
to the minister,
I/We ____________________________________________________________ hereby apply for a suspension of liability to pay the Healthcare Levy and Medivac Levy, as I/We have adequate alternative health cover.
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detail of alternative health cover | |
Name of Health Cover: |
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Date joined the Health Cover: |
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Level of Cover (Plan/Table): |
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Contributions paid up to-date: |
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Attach a photocopy of your latest receipt to this Form as proof of Membership. | |
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I hereby declare that the above information is true and correct.
Signature of Applicant Date of Application
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NOTES
The Healthcare Levy Regulations 2012 as shown in this consolidation comprises Regulations No. 2 of 2012 and amendments as indicated in the Tables below.
Enactment | Number and year | Date of commencement | Application saving or transitional provision | ||
Healthcare Levy Regulations 2012 | 2, 2012 | 27.4.12 |
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Healthcare Levy (Amendment) Regulations 2014 | 3, 2014 | 23.5.14 |
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ad = added or inserted | am = amended | rep = repealed | rs = repealed and substituted | ||||
Provisions affected | How affected | ||||||
5 | ad | 3, 2014 | |||||
6 | ad | 3, 2014 | |||||
7 | ad | 3, 2014 | |||||
8 | ad | 3, 2014 | |||||
Schedule | ad | 3, 2014 | |||||
© Norfolk Island Government 2014
The Copyright Act 1968 of the Commonwealth of Australia permits certain reproduction and publication of this legislation. For reproduction or publication beyond that permitted by the Act, written permission must be sought from the Legislative Counsel, Administration of Norfolk Island, Norfolk Island, South Pacific 2899.