E-bike and cargo bike rebate application form

Required fields are marked with an asterisk (*).

Your details

Applicant name *

Applicant address *

Applicant email *

Applicant phone number *

Preferred contact method

Phone
Email

Bank account for rebate payment

BSB *

Bank/credit union *

Bank account number *

Account name *

Supporting documents to include with this application

Have you previously received an e-bike or cargo bike rebate? *

Does the bike comply with South Australian Road rules and e-bike regulations * Bikes must comply with South Australian Road rules and e-bike regulations to be eligible for the rebate.

Proof of purchase of e-bike or cargo bike * (Must include model of bike obtained and purchaser name)

Proof of residency * (e.g. driver’s license, rates notice, utility bill)

Community

E-bike and cargo bike rebate application form