The form is available in the Downloads box on the right hand side of this page.  This form should be returned to the Electoral Commission by the party's secretary within 10 working days of receiving a donation (or aggregated donation) exceeding $30,000.

This form must be:

• Used for every party donation exceeding $30,000.
   
• Used for every donor who, with a recent donation and others made in the preceding 12 months, has given more than $30,000 in aggregate.
   
• Completed by the party secretary.
   
• Received by the Electoral Commission within 10 working days of the (last) donation being received by the party secretary.
   

Please note that:
 

• ‘Over $30,000’ means $30,000.01 or more.
   
• GST, where relevant, counts towards a donation value.
   
• Aggregation for the purpose of a future section 210C return restarts at $0 for the donor named in this return.
   
• The donation(s) disclosed on this form must also be considered for inclusion in the party’s section 210 annual return of donations.
   
• If more than $20,000 of the donations to be included in this return were received prior to 31 December 2010 please contact the Electoral Commission for further information.