Opal Refund and Balance Transfer Policy. Electronic Ticketing System Version 4.1
|
|
|
- Dayna Pope
- 8 years ago
- Views:
Transcription
1 Opal Refund and Balance Transfer Policy Electronic Ticketing System Version 4.1
2 OPAL Refund and Balance Transfer Policy This Opal Refund and Balance Transfer Policy sets out the terms upon which TfNSW will provide refunds under the Opal Ticketing System. This Opal Refund and Balance Transfer Policy also describes the terms upon which we will transfer the balance of an Opal Card to another Opal Card. Capitalised terms that are not defined in this policy have the meaning given to them in the Opal Terms of Use which can be viewed at opal.com.au. In this Opal Refund and Balance Transfer Policy: Damaged means not capable of being read by an Opal Card Reader and subject to physical damage or electronic tampering by you or any other person or event subsequent to the acquisition of the Opal Card. Faulty means: (i) not Damaged but not capable of being read by an Opal Card Reader; or (ii) failing to comply with any applicable statutory guarantees. Opal Refund Form is the Opal card refund form or Opal card refund for deceases estates issued by us and appearing at the end of this document. Opal Return Address is Opal Customer Care, Locked Bag 5026, Alexandria, NSW, Australia, IF YOU WANT A REFUND 1. Entitlement Subject to the Opal Terms of Use and this Opal Refund and Balance Transfer Policy, you may claim a refund of the Opal Card Balance of a registered or unregistered Opal Card if: Faulty: the Opal Card is Faulty; Damaged: the Opal Card is Damaged; Unwanted: you no longer want to use the Opal Card; Terms of Use: you are permitted to do so by the Opal Terms of Use; or Expired: the Opal Card or any associated entitlement to concession travel has expired. 2. Conditions of refund We will issue refunds on the following conditions: (a) Return the Opal Card with an Opal Refund Form: You must return the Opal Card for which a refund is claimed by sending that Opal Card together with a signed and completed Opal Refund Form to the Opal Return Address. If your Opal Card is registered, the name on the Opal Refund Form must match the name in the customer profile under which that Opal Card is registered unless you are applying for a refund on behalf of a deceased estate, or are the parent or guardian of an Opal Card belonging to a child under the age of 16. If you are applying for a refund for a deceased estate, you will need to provide us with a copy of the death certificate or funeral notice, and confirm that you have authority to act on behalf of the estate by completing the Opal card refund for deceased estates. (b) Provide true, accurate and up to date information: You represent and warrant that the information provided in the Opal Refund Form is true, accurate and up to date. (c) Refund to bank account or by cheque: Refunds will be made to the Australian bank account specified in the Opal Refund Form that accompanies the returned Opal Card. If there is no Australian bank account specified in that Opal Refund Form, subject to paragraph (e) below, a refund will be made by cheque sent to the address in Australia specified in that Opal Refund Form. Refunds paid by cheque involve additional processing time. (d) No refunds in cash or by credit card: No refunds will be made in cash or to a credit card account. (e) Restriction on refunds by cheque: We will not make refunds by cheque for amounts less than $5.00. No refund cheques will be mailed overseas, an Australian address must be specified. (f) Balances not funded: No refunds will be made of any balance that was not funded by you or any other customer. (g) Refund of entire balance: A refund will only be made in the amount of the full refundable balance of the Opal Card (less any applicable charges or fees). The full refundable balance will be determined at the time we receive your signed Opal Refund Form and the returned Opal Card. (h) Cancellation of returned Opal Card: The Opal Card for which a refund is sought will be cancelled. 2
3 (i) (j) Fees: Where any information you provide on the Opal Refund Form is incorrect and we incur a bank fee as a result (for example, a reversal fee), we will charge you the fee we incur and will deduct this from the card balance. Compliance with Terms of Use and laws: We may reject any claim for a refund if you have not complied with the Opal Terms of Use or this Opal Refund and Balance Transfer Policy, or if we have reason to suspect that an offence under any law may have been or may be committed. (k) Cancelled or expired Opal Cards: In the case of a cancelled or expired Opal Card, you must claim a refund or request a balance transfer (subject to section 4 below) within 90 days from the date on which the Opal Card expired. If you do not do so, you will forfeit the Opal Card Balance of that expired Opal Card to us. (l) Lost or stolen cards: We do not provide refunds for lost or stolen Opal Cards, but if an Opal Card is registered you may obtain a balance transfer in accordance with sections 3 and 4 below. (m) Option for a balance transfer: If your Opal Card is registered, you have the option to obtain a balance transfer instead of a refund in accordance with sections 3 and 4 below. (n) Refund to the cardholder only: We will only make a refund to the person to whom an Opal Card belongs, unless you are applying for a refund on behalf of a deceased estate, or are the parent or guardian of an Opal Card belonging to a child under the age of 16. This is the case even if another person has added value to that Opal Card. IF YOU WANT A BALANCE TRANSFER 3. Entitlement Subject to the Opal Terms of Use and this Opal Refund and Balance Transfer Policy, if an Opal Card is a registered Opal Card we can arrange for a balance transfer for that registered Opal Card (Original Opal Card) to another registered Opal Card if: Lost or stolen: the Original Opal Card is lost or stolen; Faulty: the Original Opal Card is Faulty; Damaged: the Original Opal Card is Damaged; Unwanted: you no longer want to use the Original Opal Card; or Expired: the Opal Card or any associated entitlement to concession travel has expired. 4. Conditions of balance transfers We will make balance transfers for Original Opal Cards on the following conditions: (a) (b) (c) (d) (e) (f) (g) (h) (i) Report lost or stolen card immediately: If the Original Opal Card is lost or stolen you must notify us as soon as possible by calling (13 OPAL). Blocking: We will take immediate steps to block and cancel the Original Opal Card as soon as you notify us that it is lost or stolen or that it is Damaged, Faulty or unwanted. Request a balance transfer: You may request a balance transfer by calling (13 OPAL). Balance transfer of entire balance: A balance transfer will only be made in the amount of the full transferrable balance of the Original Opal Card (less any applicable charges or fees). The full transferrable balance can only be determined 24 hours after the time when (a) the Original Opal Card is reported as lost or stolen; or (b) the Original Opal Card is reported as Damaged, Faulty or unwanted. Transfer to a registered Opal Card: A balance transfer can only be made from the Original Opal Card to another Opal Card registered under the same customer profile. Your co-operation: You must do all that is necessary to obtain and register another Opal Card under the Original Opal Card s customer profile in order to enable the balance transfer to be made. Reloadable Opal Cards only: A balance transfer can only be made to and from reloadable registered Opal Cards. Compliance with Terms of Use and laws: We may decline to make a balance transfer if you have not complied with the Opal Terms of Use or if we have reason to suspect that an offence under any law may have been or may be committed. Collecting a balance transfer: If we make a balance transfer, the amount of the balance transfer will not be loaded on the Opal Card until you tap on at an Opal Card Reader. It is your responsibility to tap on at an Opal Card Reader to enable the balance transfer to be loaded on the Opal Card. 3
4 (j) Balance transfer for the cardholder only: We will only make a balance transfer for the person to whom an Opal Card belongs. This is the case even if another person has added value to that Opal Card. LOST OR STOLEN UNREGISTERED OPAL CARDS 5. No balance protection for lost or stolen unregistered Opal Cards We do not provide refunds or balance transfers for unregistered Opal Cards that are lost or stolen. The unused Opal Card Balance of a lost or stolen unregistered Opal Card is not protected so you will not be able to arrange for a refund or balance transfer of a lost or stolen unregistered Opal Card. 4
5 Opal card refund form Opal cards last for at least 8 years. Instead of a refund, consider keeping your card until you need it again. Essential: Refunds can only be deposited into an Australian bank account. You must enclose your Opal card with this refund request form. How to use this form: Please fill out the top section in CAPITAL LETTERS using a black pen. Please ensure you have provided Australian bank account details and the account holder has signed the section titled Refund to my Australian bank account. Please ensure you have signed the refund agreement section. After you have completed this form: Keep the tear-off section at the bottom of the form for your records. Return the completed form, together with the relevant Opal card, to: Opal Customer Care, Locked Bag 5026, Alexandria NSW Do not staple or perforate the Opal card. Please allow up to 20 business days for this form to be processed. Refunds paid by cheque involve additional processing time. For Opal Terms of Use, Opal Refund and Balance Transfer Policy and Opal Privacy Policy please visit opal.com.au. Cancel my enclosed Opal card Reason: Not working No longer required Other (write reason here): Opal card number (first 16 digits only) Please enclose this card with this form Title Mr Mrs Ms Dr Other First name Last name Australian postal address: Number and street Suburb State Postcode address Phone number ( ) Refund to my Australian bank account Please provide your bank account details here. This information will be used to credit the refundable balance on your Opal card back to your bank account. If you do not complete this section, a cheque will be posted to the above Australian postal address. Bank or financial institution Branch BSB Account number Account holder name Signature of account holder Opal card refund agreement please read and sign below By signing below you: represent and warrant that the information provided in this refund form is true, accurate and up to date; agree that refunds will be made in accordance with the Opal Terms of Use and Opal Refund and Balance Transfer Policy; accept that Transport for NSW has the right to determine the method by which a refund is made and may elect to make refunds via a cheque or a transfer to an Australian bank account instead of making a refund to a credit card; accept that refunds by cheque will not be made for amounts less than $5.00 (after the deduction of any applicable charges or fees); accept that (i) no refunds will be made in cash, (ii) refunds will only be made in the amount of the total balance of the Opal card (less applicable charges); and (iii) no refund will be given unless the Opal card for which a refund is sought is physically returned with this form; agree that if the Opal card is registered, the name on this form must match the name of the profile under which the card is registered; agree that if an Australian bank account has not been provided on this form, a cheque will be mailed to the above Australian postal address provided on this form; acknowledge that refunds paid by cheque involve additional processing time; accept that the Opal card will be cancelled; and release Transport for NSW, to the full extent permitted by law, from all liability in relation to the Opal card and its Opal card balance and in relation to this refund form, upon receipt by the undersigned of a refund. Signature Print your full name Privacy: The personal information collected for the purposes of the Opal card Ticketing System will be treated in accordance with the Privacy Personal Information Protection Act 1998 (NSW). For information on how we handle such personal information we refer you to the Opal Privacy Policy published on opal.com.au. OP091 Opal card refund form Office use only: Processed by Opal Customer Care Please complete, tear off and retain this section. Please allow up to 20 business days for this form to be processed. Refunds paid by cheque involve additional processing time. Opal card number Date / /
6 Opal card refund for deceased estates How to use this form: Please fill out sections 1 to 4 in CAPITAL LETTERS using a black pen. Please ensure you ve provided Australian bank account details and the account holder has signed the section titled Australian bank account details. Please ensure you have signed the refund agreement section. For Opal Terms of Use, Opal Refund and Balance Transfer Policy and Opal Privacy Policy please visit opal.com.au. After you ve completed this form: Return the completed form, together with the Opal card and supporting documents, to: Opal Customer Care, Locked Bag 5026, Alexandria, NSW, Do not staple or perforate the Opal card. Please allow up to 20 business days for this form to be processed. Refunds paid by cheque involve additional processing time. Remember to enclose the Opal card and the Death Certificate or funeral notice. Your refund application will not be accepted unless these are enclosed. 1. Refund Claimant details Title Mr Mrs Ms Dr Other First name Last name Australian postal address: Number and street Suburb State Postcode address Phone number Relationship to the deceased ( ) 2. Registered Opal cardholder details Opal card number First name Title Mr Mrs Ms Dr Other Last name Postal address: Number and street Suburb State Postcode Country address Phone number Supporting documentation attached ( ) Death certificate Funeral notice 3. Australian bank account details Please provide the Claimant s bank account details here. This information will be used to credit the refundable balance on the deceased s Opal card to the nominated bank account. If this section is not completed, a cheque will be posted to the Claimant s Australian postal address. Bank or financial institution Branch BSB Account number Account holder name Signature of account holder 4. Opal card refund agreement - declaration of Claimant s capacity to act By signing below you: Represent and warrant you are a representative of the deceased person (named above) and are authorised to deal with Transport for NSW (TfNSW) in respect of the deceased s Opal card. Represent and warrant that the information provided in this form is true, accurate and up to date. Agree to compensate TfNSW for any loss or liability TfNSW incurs if this declaration, or any of the information provided by you in this form, is incorrect. Agree refunds will be made in accordance with the Opal Terms of Use and Opal Refund and Balance Transfer Policy. Agree that if an Australian bank account has not been provided on this form, a cheque will be mailed to the Australian postal address of the Claimant provided on this form. Accept that refunds by cheque will not be made for amounts less than $5.00 (after the deduction of any applicable charges or fees). Acknowledge that refunds paid by cheque involve additional processing time. Accept that (i) no refunds will be made in cash, (ii) refunds will only be made in the amount of the total balance of the Opal card (less applicable charges); and (iii) no refund will be given unless the Opal card for which a refund is sought is physically returned with this form. Agree that if the Opal card is registered, the name of the deceased on this form must match the name of the profile under which the card is registered. Accept that the Opal card will be cancelled. Release TfNSW, to the full extent permitted by law, from all liability in relation to the Opal card and its Opal card balance and in relation to this refund form, upon receipt by the undersigned of a refund. Claimant signature Print your full name OP091 Opal card refund for deceased estates Office use only: Processed by Opal Customer Care
Opal Refund and Balance Transfer Policy. Electronic Ticketing System Version 4.3
Opal Refund and Balance Transfer Policy Electronic Ticketing System Version 4.3 OPAL Refund and Balance Transfer Policy Contents 1. Introduction 2. Definitions 3. Reloadable Opal Cards A. Refunds B. Balance
myki Refund & Reimbursement form
myki Refund & Reimbursement form Use this form if you would like to: > refund the full balance of your myki; OR > claim a reimbursement; OR > convert your myki pass to myki money. If you are deaf, or have
For all claims the following documents must be sent to us along with this claim form:
IMPORTANT: please read this before you start Use the check list below to help you complete your claims form, and identify documents you will need to attach. We don t want you to miss something. Delays
Renewal of registration Building surveying contractor (individual) Form 63
Government of Western Australia Department of Commerce Renewal of registration Building surveying contractor (individual) Form 63 Use of this form This form is to be used by building surveyors who are
2. For cancellation or amendment of travel arrangements due to you or your relatives illness /death (Complete Sections A, C D and E)
IMPORTANT: please read this before you start Use the check list below to help you complete your claims form, and identify you will need to attach. We don t want you to miss something. Delays can occur
Application to copy or transfer from one Medicare card to another
Application to copy or transfer from one Medicare card to another When to use this form Use this form if you need to do any of the following 4 actions: Transfer to a new Medicare card When a person transfers
Medicare enrolment application
Medicare enrolment application When to use this form Use this form if you are: a migrant living in Australia applying for permanent residency and living in Australia a visitor to Australia an Australian
Application for direct payment of government super contributions
Instructions and form for retirees and estate trustees Application for direct payment of government super contributions WHO COMPLETES THIS APPLICATION You should complete this application if you want to
Withdrawal Form 1 July 2015
Withdrawal Form 1 July 2015 OnePath Life Limited ABN 33 009 657 176 AFSL 238 341 242 Pitt Street, Sydney NSW 2000 Customer Services Phone 133 665 Email customer@onepath.com.au Website onepath.com.au Instructions
credit card Conditions of Use
VISA credit card Conditions of Use EFFECTIVE FROM 20 MARCH 2013 a refreshing attitude to banking QUEENSLAND COUNTRY CREDIT UNION VISA CREDIT CARD 1 Contents 1. Introduction 3 2. Additional Cards 3 3. Application
Altitude Rewards and Altitude Qantas
Altitude Terms and Conditions Altitude Rewards and Altitude Qantas Effective 9 November 2014 Altitude Rewards 1 Contents Altitude Rewards terms and conditions...4 1. When do these terms and conditions
A Hero rate or Zero fees at selected ATMs.
A Hero rate or Zero fees at selected ATMs. It s easy to open your Bankwest Hero Transaction account or Bankwest Zero Transaction account. Here s how: Now that you have downloaded the Bankwest Hero Transaction
Complete this form to withdraw part or all of your benefit as a lump sum, roll over to another GESB account and/or to another complying super fund.
Benefit access Gesb Super and West State Super SUP E R ANNUATION Complete this form to withdraw part or all of your benefit as a lump sum, roll over to another GESB account and/or to another complying
How To Use Anz Credit Card
ANZ Credit Cards CONDITIONS OF USE 25.05.2015 CONSUMER CREDIT CARDS Containing terms and conditions for: ANZ Consumer Credit Cards ANZ Internet Banking ANZ Phone Banking ANZ Mobile Banking BPAY ANZ Contacts
Smart Term Insurance
Smart Term Insurance Combined Product Disclosure Statement and Financial Services Guide Product Disclosure Statement About Smart Term Insurance HCF Smart Term Insurance is a term life insurance product
Altitude Business Rewards. Terms and conditions. Altitude Business Cards Altitude Business Gold Cards Altitude Business Platinum Cards
Altitude Business Rewards Terms and conditions Altitude Business Cards Altitude Business Gold Cards Altitude Business Platinum Cards Effective 15 August 2015 Contents 1. When do these terms and conditions
David Jones Storecard and David Jones American Express Card Member Agreement, Financial Services Guide and Purchase Protection. Terms and Conditions
David Jones Storecard and David Jones American Express Card Member Agreement, Financial Services Guide and Purchase Protection Terms and Conditions Issued May 2016 DAVID JONES STORECARD AND DAVID JONES
Bendigo Rewards. Terms & Conditions. 21 December 2015. www.bendigobank.com.au
Bendigo Rewards. Terms & Conditions. 21 December 2015 www.bendigobank.com.au Bendigo and Adelaide Bank Limited The Bendigo Centre Bendigo VIC 3550 Telephone 1300 BENDIGO (1300 236 344) ABN 11 068 049 178.
BT Classic Investment Funds Additional and Regular Investments Request
BT Classic Investment Funds Additional and Regular Investments Request BT Customer Relations 132 135 (8.00am 6.30pm Mon-Fri, Sydney time) The Responsible Entities for the Funds offered through BT Classic
Opal Privacy Policy. Opal Electronic Ticketing System
Opal Electronic Ticketing System Contents 1 Background... 4 1.1 The Opal Ticketing System... 4 1.2 Channels for acquiring Opal cards... 4 1.3 TfNSW... 4 2 Scope of policy... 5 2.1 Applicable privacy legislation...
ANZ Credit Cards CONDITIONS OF USE 20.07.2015 CONSUMER CREDIT CARDS
ANZ Credit Cards CONDITIONS OF USE 20.07.2015 CONSUMER CREDIT CARDS Containing terms and conditions for: ANZ Consumer Credit Cards ANZ Internet Banking ANZ Phone Banking ANZ Mobile Banking BPAY ANZ Contacts
CORPORATE VOLUNTARY DIRECT DEBIT APPLICATION
CORPORATE VOLUNTARY DIRECT DEBIT APPLICATION 1. Please complete this form USING BLACK INK and write within the boxes in CAPITAL LETTERS. Mark appropriate answer boxes with a CROSS. Start at the left of
TERM INVESTMENT ACCOUNT
TERM INVESTMENT ACCOUNT For completion by individual(s), parishes or organisations Please complete, detach and forward the Term Investment Account form to: The Anglican Savings and Development Fund PO
Application for superannuation benefits temporary residents departing Australia permanently
GPO Box 89 Melbourne Vic 3001 VicSuper Member Centre 1300 366 216 vicsuper.com.au Application for superannuation benefits temporary residents departing Australia permanently * Indicates that providing
CLAIM FOR COMPENSATION FOR A WORK-RELATED DEATH
CLAIM FOR COMPENSATION FOR A WORK-RELATED DEATH Seafarers Rehabilitation and Compensation Act 1992 Information about claiming compensation In this document, all references to the employer mean the employer
NSW DEPARTMENT OF EDUCATION LIVING AWAY FROM HOME ALLOWANCE 2016 INFORMATION AND APPLICATION FORM
ABOUT THE ALLOWANCE NSW DEPARTMENT OF EDUCATION LIVING AWAY FROM HOME ALLOWANCE 2016 INFORMATION AND APPLICATION FORM The Living Away from Home Allowance provides assistance to families who must board
Superannuation and Deferred Annuity Redemption / transfer form
Superannuation and Deferred Annuity Redemption / transfer form This form is to be used when redeeming your superannuation benefit from the Zurich Deferred Annuity or from the Zurich Master Superannuation
Making a claim with TID
Making a claim with TID Before you start In order for us to process your claim quickly it s important that you complete all the relevant sections of this form with as much detail as you can If you do not
Insurance Variation Form
Insurance Variation Form SEND YOUR COMPLETED FORM TO: Australian Ethical Super, Locked Bag 5125, Parramatta NSW 2124. Please use BLOCK LETTERS and BLACK ink. Important notes Please use this form if you
TERMS AND CONDITIONS for the Select Retailer Group Prepaid Virtual Card and the Spend Anywhere Prepaid Virtual Card
TERMS AND CONDITIONS for the Select Retailer Group Prepaid Virtual Card and the Spend Anywhere Prepaid Virtual Card This Agreement applies to Your Virtual card. You must read it carefully. By applying
Visa Debit & Prepaid Card Access Terms and Conditions As at 1 August 2015
As at 1 August 2015 VISA Card Conditions of Use These Conditions of Use take effect immediately except as otherwise advised in writing and replace all VISA Debit Card Conditions of Use previously issued.
Form 47 Application for trainer approval in Responsible management of licensed venues course
Form 47 Application for trainer approval in Responsible management of licensed venues course Liquor Act 1992 s. 142B V2 Aug 2013 Office use only Receipt no.... Amount $... Date... Instructions Please complete
VISA DEBIT CARD CONDITIONS OF USE
GOLDFIELDS MONEY LTD VISA DEBIT CARD CONDITIONS OF USE Effective: 20 May 2015 These Conditions of Use take effect on and from 20/05/2015 except as otherwise advised in writing and replace all VISA Debit
Bentham Asset Management Application Form. Customer identification. Contact details. Checklist. Use this application form if you wish to invest in:
Bentham Asset Management Application Form Use this application form if you wish to invest in: Bentham Wholesale Global Income Fund Bentham Wholesale Syndicated Loan Fund Bentham Wholesale High Yield Fund
Lump sum benefit payment request for your superannuation or account based pension
Lump sum benefit payment request for your superannuation or account based pension How to claim a benefit To claim a benefit you will need to complete the attached Benefit Payment Request and send it direct
Stockbroking. INDIVIDUAL/JOINT ACCOUNT application form. Please only use this form to open a trading account: in your name, or in joint names
Stockbroking INDIVIDUAL/JOINT ACCOUNT application form Please only use this form to open a trading account: in your name, or in joint names In order to process your application we will need: your completed
Business Telephone Banking Administration form
Westpac Banking Corporation ABN 33 007 457 141 AFSL 233714 Business Telephone Banking Administration form Our privacy policy is available at westpac.com.au or by calling 132 032 and covers how we handle
Please complete, detach and forward the Cheque Account form to: The Anglican Savings and Development Fund PO Box 817 NEWCASTLE NSW 2300
CHEQUE ACCOUNT For completion by Anglican parishes or organisations Please complete, detach and forward the Cheque Account form to: The Anglican Savings and Development Fund PO Box 817 NEWCASTLE NSW 2300
REQUEST FOR WITHDRAWAL
REQUEST FOR WITHDRAWAL If you need help For assistance call NGS Super Customer Service Team on 1300 133 177. Step 1. Complete your personal details Please print in black or blue pen, in uppercase, one
Professional Indemnity Insurance and optional Public & Products Liability
Advantedge Members (Incorporating PLAN, FAST and CHOICE Members) Professional Indemnity Insurance and optional Public & Products Liability Proposal form 2014-2015 Please return completed proposal form
Octopus Automatic Add Value Service Application Form. Fax No.: 2834 8903
Fax No.: 2834 8903 or Mail: DBS Bank (Hong Kong) Limited T&O-Card Servicing Level 13, Millennium City 6, 392 Kwun Tong Road, Kwun Tong, Kowloon HongKong/CPF/CSV/0045(05/12) All fields are mandatory. Applicant
Making a claim with Suresave
Making a claim with Suresave Before you start In order for us to process your claim quickly it s important that you complete all the relevant sections of this form with as much detail as you can If you
Withdrawals. 1. Investor details
MLC Navigator Investment Plan MLC Navigator Retirement Plan MLC Navigator Access Investment MLC Navigator Access Super and Pension Withdrawals Please tick where appropriate: Account closure (Sections 1,
COMMBANK CREDIT CARD CONDITIONS OF USE.
COMMBANK CREDIT CARD CONDITIONS OF USE. How you can use your account. For all CommBank Personal Credit Cards and Business Credit Cards. 1 January 2015 CONTENTS Conditions of Use 1 Your contract with us
SASS FORM 405 APPLICATION FOR BENEFIT PAYMENT UPON (OR DEFERRAL) How to apply. Use this form... Do not use this form. Notes for applicants
SASS FORM 405 APPLICATION FOR BENEFIT PAYMENT UPON (OR DEFERRAL) THE DEATH OF A SASS OF CONTRIBUTORY BENEFITS ON OR RETRENCHMENT DEFERRED BENEFIT MEMBER Please print clearly in black ink. Use this form...
QBE travel insurance claim form
QBE travel insurance claim form QBE Insurance (Australia) Limited ABN 78 003 191 035 AFSL 239 545 Office use only Claim number Please answer all questions and tick boxes where appropriate Leaving a question
American Express. Business Credit Card Conditions
American Express Business Credit Card Conditions Effective 1st June 2006 Postal Address American Express Australia Limited Cardmember Services GPO Box 1582 Sydney NSW 2001 Lost or Stolen Cards In Australia
Low Rate Visa Card Terms and Conditions
Low Rate Visa Card Terms and Conditions This document forms part of your credit contract and should be read with the Credit Card Contract Schedule which also forms part of your credit contract. 1 Effective
7-Eleven Prepaid Visa Card
7-Eleven Prepaid Visa Card TERMS AND CONDITIONS 03.2013 Terms & Conditions of the Card Australia and New Zealand Banking Group Limited ABN 11 005 357 522 ( ANZ ), AFSL 234527 is the issuer of this 7-Eleven
Application for an Electrical Contractor s Licence
Application for an Electrical Contractor s Licence 303 Sevenoaks Street (entrance Grose Ave) Cannington WA 6107 Postal Address: Locked Bag 14 Cloisters Square WA 6850 Telephone: (08) 6251 2000 Email enquires
Application for release
Application for release Write clearly, using a black pen only. Place X in all relevant boxes. If there is not enough space to provide full details, write the additional information on a separate page.
Payment of unclaimed superannuation money
Instructions and form for super fund members Payment of unclaimed superannuation money How to complete your Application for payment of unclaimed superannuation money individual. For information about unclaimed
AAMT Massage Therapist Proposal Form Combined Malpractice, Public and Products Liability Insurance effective 30 September 2015
Page 1 of 5 AAMT Proposal Form Combined Malpractice, Public and Products Liability Insurance effective 30 September 2015 Please complete and return this proposal form via post, email or fax using the contact
X NSW/ACT X NT X QLD X SA X TAS X VIC X WA
1. Please complete this form USING BLACK INK and write within the boxes in CAPITAL LETTERS. Mark appropriate answer boxes with a CROSS. Start at the left of each answer space and leave a gap between words.
Macquarie Rewards Program. Terms and Conditions
Macquarie Rewards Program Terms and Conditions EFFECTIVE 20 NOVEMBER 2015 1 Contents 1. When do these Terms and Conditions apply to me? 1 2. How does the Macquarie Rewards Program work? 2 3. Administration
Fatality Claim Form. South Australia Compulsory Third Party (CTP)
South Australia Compulsory Third Party (CTP) Fatality Claim Form This form is to be completed by any person who is claiming compensation as a result of a person s death in a motor vehicle accident (please
WHOLE BALANCE TRANSFER TO A KIWISAVER SCHEME
WHOLE BALANCE TRANSFER TO A KIWISAVER SCHEME Issued 1 November 2014 Please use this form to transfer your whole superannuation balance to a KiwiSaver scheme. Transferring only part of your superannuation
January 2009. Q Rewards Terms and Conditions
January 2009 Q Rewards Terms and Conditions 2 Contents Page 1. Definitions 4 2. Participation 4 3. Accumulation of Reward Points 4 4. Duration and Loss of Reward Points 5 5. Reward Redemption 6 6. Fast
Mail Collect TM application form
Mail Collect TM application form To apply for our Mail Collect, please print and fill in this form and send it to the following address: Royal Mail, Mail Collect Team, PO Box 740, Dearne, S73 OUF. Please
Application for health insurance. HCF Membership No. R20762. b) Choose your cover requirement (Please mark X )
Application for health insurance (Please mark X ) Join HC health fund new to private health insurance (complete sections 1-8, excluding 7) Transfer to HC health fund from another fund (complete sections
As an aged care worker, this incentive is for you to upgrade your qualifications and build your career in aged care.
Aged Care Education and Training Incentive Programme COMPLETION PAYMENT This application form is to be completed by applicants who have completed studies and have already received a commencement payment
Claim for Compensation for a Work-related death
SRC 184 (March 2014) Claim for Compensation for a Work-related death This form is to be completed if you wish to claim compensation under the Safety, Rehabilitation and Compensation Act 1988 (SRC Act)
ANZ Commercial Card TERMS AND CONDITIONS 11.2015. ANZ Corporate Card ANZ Visa Purchasing Card ANZ Business One
ANZ Commercial Card TERMS AND CONDITIONS 11.2015 ANZ Corporate Card ANZ Visa Purchasing Card ANZ Business One Containing Terms and Conditions for: Facility Terms and Conditions Electronic Banking Conditions
PERSONAL INJURY CLAIM FORM
Office use only Policy Number: 0028332 Claim Number: s PERSONAL INJURY CLAIM FORM INSURANCE BROKER FOR TENPIN BOWLING AUSTRALIA V-Insurance Group Pty Ltd Authorised Representative No. 432898 an authorised
Claim Form TRAVEL INSURANCE
ACCIDENT & HEALTH INTERNATIONAL Claim Form TRAVEL INSURANCE Sydney Level 4, 33 York Street Sydney NSW 2000 GPO Box 4213, Sydney, NSW, 2001 T: +61 2 9251 8700 F: +61 2 9252 4385 ABN: 26 053 335 952 AFS
JLT SPORT ASSET PROTECT CLAIM FORM
JLT SPORT ASSET PROTECT CLAIM FORM PLEASE USE BLOCK LETTERS WHILE COMPLETING THIS FORM CLAIMS HOTLINE: 1800 640 009 or call direct: (08) 8235 6455 Please forward your completed claim form to: Echelon Claims
St.George Quick Cover
St.George Quick Cover St.George Quick Cover is the fast and easy way to help protect the people you care about. Product Disclosure Statement and Policy Wording (PDS). Effective Date: 20 October 2014 Issued
PLEASE DO NOT STAPLE.
YOUR APPLICATION 1. Please complete this form USING BLACK INK and write within the boxes in CAPITAL LETTERS. Mark appropriate answer boxes with a CROSS. Start at the left of each answer space and leave
Change of Details Form
australianethical investments Change of Details Form Please use BLOCK LETTERS and BLACK INK. SEND YOUR COMPLETED FORM TO: Australian Ethical Investment Ltd, Reply Paid 3993, Sydney, NSW, 2001. STEP 1 INVESTOR
Down time processing
Down time processing How can I manually process credit card transactions? 1 2 Firstly check that the card has not expired Place the customer s card into the slot of the manual imprinter 3 Place the Sales
CITY OF PERTH PARKING PARKING CARD APPLICATION
PARKING CARD APPLICATION Privacy The personal information collected on this form will only be used by the City of Perth for the sole purpose of providing requested and related services. Information will
Shares ISA Application
Shares ISA Application To open a Shares ISA please visit www.selftrade.co.uk or complete and sign this application form and return along with any enclosures required in the envelope provided. Please read
Investment Funds ISA Application Form
Investment Funds ISA Application Form Please select one of the following: Lump sum Regular saver investment Combined lump sum and regular saver investment Before completing this application form please
CONDITIONS OF USE for GREATER CREDIT CARDS
Head Office: 103 Tudor Street, Hamilton NSW 2303 PO Box 173, Hamilton NSW 2303 Phone: 1300 651 400 Fax: (02) 4921 9112 Web: www.greater.com.au Email: webenquiry@greater.com.au ABN 88 087 651 956 Australian
Citibank Travel Insurance Claim Form
ACE Insurance Limited ABN 23 001 642 020 AFSL. 239687 Level 1, 51 Berry Street rth Sydney NSW 2060 Australia PO Box 403 rth Sydney NSW 2059 Australia 1800 305 422 (02) 8912 9704 (02) 9231 3697 +61 2 8912
Travel Insurance Report Form
ACE Insurance Limited ABN 23 001 642 020 28-34 O Connell Street Sydney NSW 2000 Australia GPO Box 4065 Sydney NSW 2001 Australia 1800 688 640 claims phone 1800 815 675 customer service +61 (0)2 9231 3697
International Student Offer Acceptance form
International Student Offer Acceptance form Read these instructions carefully before you complete the acceptance form. This acceptance together with your letter of offer, forms your written agreement with
IRD number application - non-resident/offshore individual
IR742 February 2016 IRD number application - non-resident/offshore individual For full details go to www.ird.govt.nz (search keyword: offshore). Only use this form if you're a non-resident or offshore
Mercer Self-Managed Super Service Application form
Mercer Self-Managed Super Service Application form Please print in black or blue pen, in uppercase, one character per box. A Important information regarding completion of this form Establishing a self-managed
ANZ Airpoints Visa WELCOME GUIDE
ANZ Airpoints Visa WELCOME GUIDE Introducing the ANZ Airpoints Visa and the ANZ Airpoints Visa Platinum, the credit cards that reward you with Air New Zealand Airpoints Dollars. The ANZ Airpoints Visa
Information for temporary residents departing Australia
Information for temporary residents departing Australia MLC Superannuation What is a Departing Australia Superannuation Payment? The Departing Australia Superannuation Payment (DASP) is the payment of
Transactional and Savings Accounts. Combined Product Disclosure Statement and Financial Services Guide
Transactional and Savings Accounts Combined Product Disclosure Statement and Financial Services Guide BOQ Specialist Transaction and Savings Accounts (with Overdraft) Combined Product Disclosure Statement
Recognition of Prior Learning Application Diploma of Financial Services (Financial Planning) FNS50804 and RG 146
Recognition of Prior Learning Application Diploma of Financial Services (Financial Planning) FNS50804 and RG 146 1. WHAT IS RECOGNITION OF PRIOR LEARNING (RPL)? RPL stands for recognition of prior learning.
Amplify Business Credit Card.
Amplify Business Credit Card. Rewards Terms and Conditions Part One - Amplify Rewards for Amplify Business Credit Cards Terms and Conditions Part Two - Amplify Qantas for Amplify Business Credit Cards
Application for a departing Australia superannuation payment
Instructions and form for temporary residents Application for a departing Australia superannuation payment How to complete your Application for a departing Australia superannuation (super) payment. WHO
Use of Business Cards Procedure
Use of Business Cards Procedure Related Policy General Purchasing Policy Responsible Officer Senior Manager Financial Operations Approved by Chief Financial Officer Approved and commenced December, 2014
SCB Credit Card / Co-Branded Card Octopus Automatic Add Value Service Application Form
SCB Credit Card / Co-Branded Card Octopus Automatic Add Value Service Application Form Please read and understand the Terms of Application as stated below before completing this application form. Introduction
ONLINE SERVICES TERMS AND CONDITIONS S E P T E M B E R 2 0 1 3
ONLINE SERVICES TERMS AND CONDITIONS S E P T E M B E R 2 0 1 3 This document sets out the terms and conditions ( Terms and Conditions ) that govern the use of the DDH Graham Limited ( DDH, we or us ) Online
Credit Card Conditions of Use. Credit Guide.
Credit Card Conditions of Use Credit Guide. Effective Date: September 2015 This document contains the terms and conditions that apply to St.George Bank Business Visa Debit Card cardholders and to all transactions
PERSONAL INJURY CLAIM FORM
Office use only Policy Number: AN A038364 PAD Claim Number: PERSONAL INJURY CLAIM FORM INSURANCE BROKER FOR TRIATHLON AUSTRALIA V-Insurance Group Pty Ltd Level 28, Angel Place, 123 Pitt Street, SYDNEY
Amplify Business of Conditions of Use
Amplify Business Conditions Credit Card of Conditions of Use Effective: 25 September November 2015 2014 This document does not contain all the terms of this agreement or all of the information we are required
A helpful guide for first home buyers. Westpac KiwiSaver Scheme First Home Purchase Withdrawal
A helpful guide for first home buyers. Westpac KiwiSaver Scheme First Home Purchase Withdrawal BT Funds Management (NZ) Limited is the scheme provider and Westpac New Zealand Limited is the distributor
FTSE 100 Tracker Fund ISA Application Provided by RBS Collective Investment Funds Ltd
FTSE 100 Tracker Fund ISA Application Provided by RBS Collective Investment Funds Ltd p Your information For details of how we and others will use your information and how to give your consent, please
Amplify Business Credit Card Conditions of Use.
Amplify Business Credit Card Conditions of Use. Effective: September 2015 This document does not contain all the terms of this agreement or all of the information we are required to give you before the
PERSONAL INJURY CLAIM FORM
Office use only Policy Number: ATCSI00035 Claim Number: PERSONAL INJURY CLAIM FORM INSURANCE BROKER FOR TABLE TENNIS AUSTRALIA V-Insurance Group Pty Ltd Authorised Representative No. 432898 an authorised
Professional Indemnity Proposal Form. for. Financial Planners
Professional Indemnity Proposal Form for Financial Planners Address: 5/3352 Pacific Highway Postal: PO Box 976 Springwood QLD 4127 Springwood QLD 4127 Phone: 07 3387 2800 Fax: 07 3208 2200 Email: pidirect@pidirect.com.au
FundZone ISA Stocks & Shares Transfer (cash)
FundZone ISA Stocks & Shares Transfer (cash) Application Form Who this form is for This form is for anyone who wishes to transfer a Stocks & Shares ISA in cash from another ISA Manager to Standard Life
International Student
International Student travel insurance Insurance that looks after students from other countries while they are studying in New Zealand Effective from 18 March 2015 Why do you need International Student
Credit Card Conditions of Use. Credit Guide.
Credit Card Conditions of Use. Credit Guide. Effective Date: 20 May 2016 This document does not contain all the terms of this agreement or all of the information we are required by law to give you before
The Airlie Share Fund Application Form for Individual / Joint Investor / Sole Trader / Individual Trustee
The Airlie Share Fund Application Form for Individual / Joint Investor / Sole Trader / Individual Trustee This Application Form forms part of the Information Memorandum for The Airlie Share Fund (Fund).