Living Away From Home Allowance Form

Important Note

A LAFHA period cannot be greater than 12 months

Name
Normal Residential Address
New Residential Address

Please indicate Yes or No to all of the following

I am required by the host client to live away from my normal residence
The period I will be living away from my normal residence is no longer than 12 months.
The period I will be living away from my normal residence is longer than 21 days.
I have an ownership interest in my normal residence.
I will retain unconditional access to my normal residence while receiving LAFHA.
I will be subletting my normal residence while receiving LAFHA.
My spouse will be relocating with me.
One or more adult dependents (excluding my spouse) will be relocating with me.
One or more children will be relocating with me.
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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