Refund request form

Ratepayer details

Rates, Water or debtor account number *

Ratepayer name *

Property address *

Phone number

Email Address

There is a refund transaction fee of $31.20. The first refund is free for an accidental overpayment.

Reason for refund *

BSB *

Account number *

Name of bank account *

Please attach proof of payment (eg receipt, bank statement, screenshot of bank statement) *

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Signature *

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