WOSHC Parent Refund Form

WOSHC Parent Refund Form
Outside School Hours Care fees ~ Account in Credit

If it is identified that a family account is in credit, the family will be notified of this and the amount that is in credit.

To proceed with refunding the credit amount, please complete the below fields.
WOSHC Account Details
Parent/Account Holder's Name*

First NameLast Name
Parent/Account Holder's Phone Number*
Please enter a valid phone number.
Parent/Account Holder's Address*
Child/ren's Name/s*
Do you still require care with WOSHC? (If no, we will deactivate your account)*

YesNo
Payment Details

Please provide bank details for funds to be paid in to.
Bank Name*
Bank Account Name*
BSB*
Bank Account Number*
Amount to be refunded*
Confirmation
By signing this form I confirm the following:
- I confirm that the above bank details are correct
- I understand that incorrect details may lead to a delay in receiving the refund
- I understand that processing of the refund may take up to 3-weeks.
- I understand you cannot provide the refund until all CCS has been retrieved and confirmed for all weeks.
- I understand you cannot provide the refund until all Debitsuccess payments have been retrieved and confirmed as cleared funds.
Account Holder's Signature*

Clear
Date*

DayMonthYear
Date
Should be Empty:

WOSHC Account Details