2025-2026 Engineering Infrastructure Replacement Program Round

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This is a preview of the 2025-26 High Value Statewide Replacement Fund - EIRP form. When you’re ready to apply, click Fill Out Now to begin.
 

Contact details

* indicates a required field.

Health Service/ Agency Details

Please provide the Applicant Organisation Name exactly as it appears in the drop down below.
Confirm Health Service Name for data integrity purposes.
Response required.
Choose a Division
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Choose divisional area to which this submission relates
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Choose the LGA to which this submission relates.
Response required.
Choose the LHSN to which this submission relates to
Type of Health Service * Required
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Clear the selected value for Type of Health Service
No more than 1 choice may be selected.
The ABN provided will be used to look up the following information.
Click Lookup above to check that you have entered the ABN correctly.
Australian Business Register Information
ABN
Entity name
ABN status
Entity type
Goods & Services Tax (GST)
DGR Endorsed
ATO Charity Type
More information
ACNC Registration
Tax Concessions
Main business location
Must be an ABN. 
Use the arrow keys to navigate suggestions. Press Enter to select a suggestion. Start typing a name or address to see prefill options.
Address Line 1, Suburb/Town, State/Province, Postcode, and Country are required. 
Address of Department / Campus / Facility to which the submission relates * Required
Must be an Australian postcodeAddress Line 1, Suburb/Town, State/Province, Postcode, and Country are required.. 
Location of requested asset