Novated Lease Expense Claim Form

Novated Lease Expense Claim Form
If you're submitting a request for us to pay the supplier on your behalf, please continue with the below form.

If you're looking to submit a reimbursement claim for an expense you've already paid, you can submit this through the Member Portal instead - it's quicker, you'll get real-time tracking, and you'll receive your reimbursement sooner.
Go to the Member Portal →
Can't access the portal? Continue with this form or call us on 1300 664 323.
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: 0000 000 000.
Employer
Vehicle Registration Number

Payment Type
Requests for direct payment must be submitted at least 10 days before the due date.
Reimbursements
Electric Vehicle Charging
Please upload a photo of your odometer, capturing the entire dashboard and a copy of your current power bill.

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Itemised power bill with the itemised line for your at-home vehicle charger / valid invoice or receipt from a fast charge (not a screenshot of a bank account).

Cancelof
Proof of payment as a valid Tax Invoice (containing the supplier’s ABN and tax breakdown of expense)

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Please enter your Bank details for reimbursement
Proof of payment and Renewal/Policy documents (including tax breakdown)

Cancelof
Please enter your Bank details for reimbursement
Please upload Tax invoice / Receipt / Proof of payment

Cancelof
Please enter your Bank details for reimbursement
Pay to Supplier
Valid Tax Invoice (containing the supplier’s ABN and tax breakdown of expense) and supplier payment details

Cancelof
Complete Renewal/Policy Documents (including tax breakdown) and supplier payment details

Cancelof
Please upload Tax invoice / Receipt / Proof of payment

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Expense Claim Amount
total expense claim (including gst)
Expense Claim Amount
total expense claim (including gst)
Please enter your Bank details for reimbursement (leave blank if "Pay Directly to Supplier selected)