image



Direct Debit Payments...

This transaction will be processed on the next business day if made after business hours, however the time of payment will be deemed to be the time you submitted this transaction. Confirmation of your payment will be sent to you by email.

Full Payments can be made by completing your bank details below:


Payment Option - Full Payment


If you want to pay by instalments, click here


Name of Bank


BSB No.


Account Number


Amount Paid


Client Code


Email Address


Invoice Number

Amount












Comments:

Please enter your email address so that we can send you confirmation
of receipt, which will be sent on the next working day.

IF AN EMAIL RECEIPT IS NOT RECEIVED, PLEASE CALL OUR OFFICE!!

   

   

DIRECT DEBIT REQUEST (DDR) SERVICE AGREEMENT

OUR COMMITMENT TO YOU
This notice outlines our service commitment to you, in respect of Direct Debit Request (DDR) arrangements made between Blackburn (Insurance Brokers) Pty.Ltd. ACN 064 554 945 (user ID 121135) and you. It sets out your rights, our commitment to you and your responsibilities to us together with where you should go for assistance

INITIAL TERMS OF THE ARRANGEMENT
In terms of the Direct Debit Request arrangements made between us and signed by you, we undertake to periodically debit your nominated account by the agreed amount for payment of your insurance premium.

DRAWING ARRANGEMENTS
The first drawing under this Direct Debit arrangement will occur effective from the attachment date of the insurance contract.
If any drawing falls due on a non-business day, it will be debited to your account on the next business day following the scheduled drawing date.
We will give you at least 14 days notice when changes to the initial terms of the arrangement are made.
If you wish to discuss any changes to the initial terms, this can be done by ringing our office or notifying us by mail

YOUR RIGHTS

CHANGES TO THE ARRANGEMENT
It you want to make changes to the drawing arrangements, just call or write to our oftice. These changes may include:
- deterring the drawing; or
- altering the schedule; or
- stopping an individual debit; or
- suspending the DDR; or
- cancelling the DDR completely

ENQUIRIES
Direct all enquiries to us, rather than to your financial institution, and these should be made at least 10 working days prior to the next scheduled drawing date. All communication addressed to us should include your client code.

All personal customer intormation held by us will be kept confidential except that information provided to our financial institution to initiate the drawing to your nominated account.

DISPUTES
If you believe that a drawing has been initiated incorrectly, we encourage you to take the matter up directly with us by contacting our office.

If you do not receive a satisfactory response from us to your dispute, contact your financial institution who will respond to you with an answer to your claim:

   - within 7 days (for claims lodged within 12 months of the disputed drawing) or
   - within 30 days (for claims lodged more than 12 months after the disputed drawing)

You will receive a refund of the drawing amount if we can not substantiate the reason for the drawing.

Note Your financial Institution will ask you to contact us to resolve your disputed drawing prior to involving them.

YOUR COMMITMENT TO US
It is your responsibility to ensure that:
- your nominated account can accept direct debits (your bank can confirm this) and,
- that on the drawing date there is sufficient funds in the account; and
- that you advise us if the nominated account is transferred or closed

If your drawing is returned or dishonoured by your financial institution, we shall call you to seek an explanation. Any transaction fees payable by us in respect of the above will be added to your next drawing.