WOSHC Parent Refund Form

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

If a family account is in credit, account holders have the option to have the credit remain on their account or be refunded to them.

If a refund is requested, the below form must be completed.

Please allow 2-4 weeks processing time.
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*
Reason for requesting refund*
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