Complete the following form to request a refund into your bank account. Please note that we can only refund into a bank account. Document Details Document Number Type Document Number Type - Select -Permit NumberInfringement NumberAnimal Registration NumberPound ID NumberOther… Enter other… Document/Receipt Number Your Details Name/s Property Address Current Mailing Address (if different from the above) Contact Phone Number Email Address (to receive remittance advice) In a effort to reduce our carbon footprint, we will no longer be printing paper remittance advices. If you would like a remittance advice please provide your email address. Please provide the reason you are requesting a refund Refund Details I/We request that the overpayment on my account be refunded to: Bank Account Rates or Debtor Account Bank Name BSB Account Number Account Name Refund Amount $ Please allow up to four weeks to receive your refund, cash refunds not available. Rates assessment number or debtor number Leave this field blank