Resources

Rental Reimbursement Application

Please fill out the form below and a customer representative will be in touch with you within 48 - 72 hours.

Have you been in any Hamersley Iron housing scheme before? If yes, please give details:

Full Name:*

Payroll ID:

Location:

Position:

Work Commencement Date:

Phone (Home):

Phone (Work):

Address:

Town:

Rental Agreement Details

Real Estate Agent:

Rent Per Week:

Date Moved In:

Type of housing you are renting:

Please Select:

Townhouse

Flat

Duplex

3 Bedroom House

4 Bedroom House

Other:

Declaration

I hereby declare the information contained in this application form to be true and correct and I am aware of and accept the terms and conditions of the Pilbara Iron Rental Reimbursement Scheme.

Employee Code of Applicant:

Date:

* Required Field