Direct Debit | West Coast Council

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Direct Debit Request Form

Step 1 of 4 - Customer and Property Details

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Customer Details

Name of Customer/s authorising Direct Debit

Full Name(Required)

First Last

Property Identification Number or PID (if known)

Available on your Rates Notice

Address of Rated Property

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Postal Address. Is this the same as the Address of the Rated Property

Yes

Postal Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Best Contact Method(Required)

Home Phone

Mobile

Mail

Please choose one or more methods that we can use to contact you if necessary.

Email(Required)

Home Phone(Required)

Mobile(Required)

Type of request(Required)

Bank Details

I/We authorise and request West Coast Council APCA ID 406280 to arrange, through its own financial institution, a debit to my nominated account as per the options selected below.

Name of Financial Institution(Required)

Branch(Required)

Account Holder Name(s)(Required)

BSB Number(Required)

Account Number(Required)

How would you like to set up your direct debit? Choose one from the list below.(Required)

Payment amounts calculated by Council upon issue of next annual Rates Notice and will NOT incur penalty.

Amount of Each Payment:

Elected Frequency:

Weekly

Fortnightly

Monthly

First Payment Date(Required)

DD slash MM slash YYYY

(Please allow 14 days for this form to be processed and make the date of your first payment 14 days from today. )

This debit will be made through the Bulk Electronic Clearing System (BECS) from your account held at the financial institution you have nominated and will be subject to the terms and conditions of the Direct Debit Request Service Agreement.

I/We acknowledge that his Direct Debit arrangement is governed by the Direct Debit Request Service Agreement received from:

West Coast Council - APCA User ID Number: 406280

Consent(Required)

I/We authorise the following:

The Debit User to verify the details of the above mentioned account with my/our Financial Institution.

The Financial Institution to release information allowing the Debit User to verify the above mentioned account details.

Direct Debit Request (DDR) Service Agreement

This Agreement

Direct Debit arrangements are subject to agreement by West Coast Council.

West Coast Council will advise you in writing, the details of the Direct Debit Pay Plan drawing arrangements if we are going to change or vary any of the direct debit conditions at least 14 calendar days prior to the first altered drawing.

Call the West Coast Council Administration desk on (03) 6471 4700 to:

Change*, stop or defer a debit payment. You will need to provide us with at least two working days notice or.
you can contact your own financial institution, which is required to act promptly on your instructions.

Note: in relation to the above reference to ‘change’, your financial institution may change your debit payment only to the extent of advising us of your new account details.

Terminating the direct debit request completely

If at any time you are dissatisfied with Direct Debit or would prefer to make a payment by another method, you can withdraw from the scheme; however cancellations must be made in writing two days prior to cancellation.

Either;

Send a signed letter of authority to: Rates, West Coast Council, PO Box 63, Queenstown TAS 7467 OR
Email: wcc@www.westcoast.tas.gov.au

Disputing any direct debit transaction

You are entitled to query your West Coast Council bill at any time or contact your financial institution.

To dispute a direct debit amount, call (03) 6471 4700 and our Administration Officers will follow up and resolve your enquiry within five working days. Alternatively you can take it up directly with your financial institution.

Direct Debit drawing not on a business day

If the due date for payment falls on a non business day or public holiday, the debit will be made on the next business day.

Your responsibilities

Please ensure you have enough funds in your nominated account to cover each direct debit, as additional fees may be payable if a transaction is dishonoured by your financial institution.

A fee may also be charged to your West Coast Council account in the case of a dishonoured direct debit payment.

It is your responsibility to ensure that the authorisation given to draw on the nominated account is identical to the account signing instruction held by the Financial Institution where the account is based.

We reserve the right to cancel the Direct Debit Pay Plan drawing arrangements if three or more drawings are returned unpaid by your nominated financial institution and to arrange with you an alternate payment method. You should check:

with your financial institution whether direct debiting is available from your account as direct debiting is not available through Bulk Electronic Clearing System (BECS) on all accounts offered by financial institutions.
your account details which you have provided to us are correct by checking them against a recent account statement; and
with your financial institution before completing the Direct Debit Request if you have any queries about how to complete the Direct Debit Request.

Change of bank account details

It is the responsibility of West Coast Council customers to advise if their nominated account is transferred or closed.

Privacy and security

We will keep any information (including your account details) in your Direct Debit Request confidential.

We will make reasonable efforts to keep any such information that we have about you secure and to ensure that any of our employees or agents who have access to information about you do not make any unauthorised use, modification, reproduction or disclosure of that information.

If you wish to notify us in writing about anything relating to this agreement, you should write to: West Coast Council PO Box 63 QUEENSTOWN TAS 7467

We may send notices either electronically to your email address or by ordinary post to the address you have given us.

Any notice will be deemed to have been received on the third banking day after emailing or posting.

We will only disclose information that we have about you:

to the extent specifically required by law; or
for the purposes of this agreement (including disclosing information in connection with any query or claim).

Agreement(Required)

I have read and agree to the Direct Debit Request Service Agreement and Privacy Protection Statement

Date(Required)

DD slash MM slash YYYY

Customer Service

Email

wcc@westcoast.tas.gov.au

Phone

(03) 6471 4700

Contact

PO Box 63 Queenstown 7467