Pooled or Shared Car Certification to Apply Reporting Exclusion

Period 1 April 2023 to 31 March 2024

I declare that the vehicle detailed below was a shared or pool car during the FBT year 1 April 2023 to 31 March 2024, as defined below, and should therefore NOT be a reportable fringe benefit.
I have attached the appropriate records to substantiate this declaration.

Definition:

"Pooled or Shared" car: A pooled or shared car is a car that is provided to two or more employees for private use.

For example, if another Senator or Member, or any employee employed under the MOP(S) Act has driven your Private Plated Vehicle (PPV) for private purposes, or kept the vehicle at or near their place of residence on one or more occasions during the FBT year commencing 1 April 2023 the provision to you of that PPV will not be a Reportable Fringe Benefit. Similarly, if your PPV was previously allocated to another Senator, Member or MOP(S) Act employee during the FBT year, no Reportable Fringe Benefit arises.

Name:

Email address:

Office:

Registration of vehicle:

Note:

If you complete this certification and declare that your vehicle is a pooled or shared car, you do not need to complete the Declaration of Availability of Private-Plated Vehicle.

By submitting this form, I acknowledge:

I understand that knowingly giving false or misleading information is a serious offence under the Criminal Code Act 1995.

I have read and understood the Privacy Collection Notice (see below).

Privacy Collection Notice: The Department of Finance (the Department) uses and discloses personal information collected in this form to facilitate the administration of the parliamentary business resources framework, and for employment purposes including to facilitate the management of your employment and for workforce planning purposes. The Department handles your personal information in accordance with the Privacy Act 1988. Personal and sensitive information may be disclosed to your employing Parliamentarian or other third party entities relevant to your employment, for workforce planning purpose or for improving culture in Commonwealth Parliamentary workplaces, including, but not limited to, the Independent Parliamentary Expenses Authority (IPEA), the Department of Parliamentary Services, the Parliamentary Workplace Support Service (PWSS), or will be disclosed as otherwise authorised or required by law. Details of the related expenditure may be tabled in Parliament, published on the Department’s website, or provided to the Special Minister of State, IPEA, or publicly, as authorised by law. More information is available at https://maps.finance.gov.au/maps-privacy-statement.