Infrastructure Protection Bond Refund Application

Please note, an * indicates a mandatory field.
Please be sure to fill in all mandatory fields.
Telephone numbers are required to be numbers only with no spaces, letters or characters e.g. 92736000.
All file uploads to have a maximum size limit of 2mB.

Request for refund form - Infrastructure Protection Bond

Applicant Details

Applicant Name:

Company Name (if applicable):

Postal Address:*

* Required Field.

Contact Phone:*

* Required Field.* Please enter a valid phone number

Email Address:*

* Required Field.* Please enter a valid email address

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Details of Infrastructure Protection Bond Request

Property Details

Lot No:

Street No:*

* Required Field.

Street Name:*

* Required Field.

Suburb:*

* Required Field.

Bond Details

Amount:

Building Permit Number No. (if known)

Receipt No. (if known)

I agree that I am authorised to apply for this Works Bond Refund and in doing so state that all works have been completed. **

I Agree

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