Form last updated 1 April 2021

Purpose

For use when an incorporated association passes a special resolution in accordance with the Associations Incorporation Act 2015 (the Act) to voluntarily cancel its incorporation. The incorporation of an association can only be voluntarily cancelled if it is solvent.

Instructions

• Type directly into this form electronically before printing and signing it or hand print neatly using an ink pen in block letters
• Tick where appropriate and attach additional pages if space in this form is insufficient.
• An incomplete application cannot be processed
• Please do not staple the documents

• This form must be submitted to the Department of Energy, Mines, Industry Regulation and Safety (DMIRS) within 28 days of the special resolution being passed.

Distribution plan - section c

Only complete this section if the association has any surplus property after the satisfaction of all debts and liabilities. Consumer Protection will provide written advice of when the distribution plan is approved for implementation. The association must not distribute the surplus property before receiving this advice.

Payment

The application fee/s is payable at the time of lodging this application.

Further information

For further information or clarification regarding eligible beneficiaries you can contact the Associations Branch directly by telephone on 1300 304 074 or by email. 

Apply online via the AssociationsOnline portal https://associations.commerce.wa.gov.au/associations/public/publicHomePage.jspx