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This form is to collect information from businesses affected by the 2019 Bunyip bushfires so that Council can understand the recovery needs of local businesses.

This form collects business contact information that will only be used for this purpose, unless otherwise requested by you. All data is stored on Australian servers and is is only accessable by Council staff. For further information pelase see our privacy policy.

The survey will take 5-7 minutes to complete and you can save your progress at any time by using the 'Resume later' link at the top of the page - this will save your responses so far and send you a link to your form. Please be sure to enter your email address correctly so that you can receive your access link.

Please do not use the back button on your browser or you will encounter an error.

(This question is mandatory)
Your details:
(This question is mandatory)
Is this business property address also your home?
(This question is mandatory)
Which of the following best describes you?
(This question is mandatory)
What type of business is it?