1424 - Refund request

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Refund request

Form

1424

Department of Home Affairs

Am I eligible for a refund?

Refunds can only be paid in limited circumstances.

Areference to these circumstances can be found at

Questions21–24 of this form.

Generally a refund request can only be made by the person

whose name is shown as the Card Holder, BPay or PayPal

account holder in the ‘Payment Details’ section on the receipt.

If you are not listed as this person and you wish to request a

refund, then that person who paid the visa application charge

(VAC) must complete Questions 1–5, 16–18 and

Question27.

How do I request a refund?

The person who paid the VAC and the person who is

receiving the refund into their bank account should complete

and physically sign this form. Prior to submitting this form

for assessment you should ensure that you have filled out all

of the necessary questions, physically signed and dated the

declaration and attached all supporting documentation. If you

do not complete all the required details, there may be a delay

in receiving your refund, if deemed eligible.

What supporting documentation do I need to provide?

• Clear and well supported reasons for requesting a refund.

Attach any supporting documents or statements.

• If the refund is requested on the basis that the visa

applicant has died before a decision had been made on

their application, a certified copy of the visa applicant’s

death certificate.

• If the payer has died, a certified copy of the payer’s death

certificate. Supporting documentation showing that you are

the payer’s personal legal representative or the trustee of the

estate of the payer, such as a grant of probate or letters of

administration, certified copy of the payer’s will

nominating you as executor or beneficiary, or a completed/

witnessed Statutory Declaration declaring that the payer

did not have a valid will, grant of probate or letters of

administration.

• If your application was lodged over the internet, a bank

statement, clearly listing the name on the account and the

payment, must be provided. Do not show credit card

number on-line or via email.

• If your application was lodged at a counter or by mail,

attach the original receipt. If you do not have the original

receipt you must attach a Statutory Declaration, declaring

that you have either lost or misplaced the receipt and that

you have not used the receipt to lodge a further application.

Where do I send the completed form?

Please refer to the Department of Home Affairs (the

Department) website for further information on where to

send the completed form and supporting documentation:

https://immi.homeaffairs.gov.au/change-in-situation/get-

a-refund.

The address and/or contact details provided in this form will

be used to seek additional information, where required.

How long will the refund take?

There is no standard time for processing refund requests.

Each claim must be individually assessed under relevant

administrative or legislative authority.

How will the refund be made?

If the refund request is successful, the approved amount will

be paid into the same bank account used to make the original

payment except when the following applies:

• The original card used for payment has expired (a bank

statement for the account to make the payment to is

required).

• The account used for payment has been closed (a bank

statement for a new account to make the payment to is

required).

• The original payment was made by credit card more than

350 days ago (a bank statement for the account to make

the payment to is required).

• The original payment was made by UnionPay account

more than 170 days ago (a bank statement for the account

to make the payment to is required).

• The original payment was made by BPay (a bank statement

for the account to make the payment to is required).

• The original visa application was lodged through an agent

AND payment was made using YOUR credit card or via

YOUR BPay (a bank statement for the account to make the

payment to is required).

Alternatively, depending on your location, the Department

may make the refund by another payment method nominated

in your refund request.

Review rights

There is no right of merits review of the assessment when an

application for a refund is declined.

Important information about privacy

The Privacy Act 1988 contains 13 Australian Privacy

Principles which regulate the way that the Department

collects and handles personal information. Information about

how the Department collects, uses and discloses personal

information for its key functions can be found in form 1442i

Privacy notice. More information about the Department’s

general information handling practices (including form

1442i) can be found in the Department’s Privacy policy at

https://www.homeaffairs.gov.au/access-and-accountability/

our-commitments/privacy

Please keep this information page for your reference

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Refund request

Form

1424

Department of Home Affairs

Part A – Payer’s details

Part B – Original application details

Full name of original payer

Applicant’s full name

TRN/Req ID/Application ID/File Number/Client ID

Email address

Visa subclass (if applicable)

Date of birth

Applicant’s date of birth

Date of application

Receipt date

Family name

Receipt number

Amount paid

Currency

Family name

Given names

DAY MONTH YEAR

You must attach supporting documentation.

You must attach a copy of the original receipt

with this Refund request.

You must attach a copy of the original receipt

with this Refund request.

Online

How was the application lodged?

Address

Part C – Receipt details

POSTCODE

Office hours

(AREA CODE )

Telephone numbers

After hours

(AREA CODE )

Paper form in

Australia

City and State where lodged

City and country of overseas mission

where lodged

Paper form

outside Australia

Mobile/cell

Tick where applicable

Please open this form using Adobe Acrobat Reader.

Either type (in English) in the fields provided or print this form

and complete it (in English) using a pen and BLOCK LETTERS.

The signature fields at Question 18, Question 19 and Question 27

should be physically signed in the language normally used when

signing official documents.

Note: These are the details of the person listed as the card or

account holder in the Payment Details section of your receipt.

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Australian account

Overseas account

Date

DAY MONTH YEAR

Authorisation for a refund to another person

• I declare that I am the original payer named at Question 1.

• I authorise the person whose details and signature appear

at Question 19 to receive the claimed refund amount, if a

refund is approved.

Authorised person’s details

Note: This is the person authorised by the payer, named at Question 1,

to receive payment on his/her behalf, or if the payer is deceased, the

person authorised to act on his/her behalf.

Date of birth

Family name

Given names

DAY MONTH YEAR

Address

Branch address

POSTCODE

Country

Office hours

(AREA CODE )

Telephone numbers

After hours

(AREA CODE )

Mobile/cell

Signature

of original

payer

Signature of

authorised

person

Account holder’s name

Name of banking institution

Branch where the account is held

BSB number

Country

Acceptable

banking currency

Account number

Branch code

number

International

Banking Code

Note: The Department’s preferred method of payment is electronic

funds transfer (EFT) directly to your bank account.

Part E – Account details

IBAN

SWIFT

Go to Part E

You must attach supporting documentation.

Go to Question 19

Yes

Do you, the payer named at Question 1, intend to claim the refund

personally?

Is the payer named at Question 1 deceased?

Part D – Refund details

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Is the refund related to a sponsorship, nomination or visa

application charge?

Fee or charge paid was greater than the prescribed fee or charge

Fee or charge was accidentally paid or charged twice

Fee or charge paid but no fee or charge was due

Fee was paid but no application was lodged or the application

was deemed invalid

Applicant died before a decision could be made

Current holder of a Tourist or Medical Treatment visa, in Australia,

with permission to work

Un-finalised Trade Skills Training visa application lodged prior to

September 2007

Refusal of one of the following visa applications as nomination

and/or sponsor was not approved.

– Super Yacht Crew (Temporary) (Class UW)

– Special Program (Temporary) (Class TE)

– Temporary Work (Long Stay) (GB401)

– Training and Research (GC402)

– Entertainment (Temporary Work) (GE420)

Refund of a second instalment visa application charge (English

charge) as:

– application was withdrawn

– applicant died before a decision could be made

– application was refused

– visa was either cancelled or ceased to be in effect prior to

applicant entering Australia

Departmental error

Client error

Application lodged due to a mistake by the applicant and

subsequently withdrawn in writing

Refund of a visa application charge due to COVID-19 related

travel restrictions for one of the following visas:

– Prospective Marriage (subclass 300)

– Temporary Work (International Relations) (Pacific Labour

Scheme and Seasonal Worker Programme streams) (subclass

403)

– Working Holiday (subclass 417)

– Work and Holiday (subclass 462)

Refund of the visa application fee of one of the following

withdrawn visa applications (you MUST provide reasons for

withdrawal at Question 25):

– Temporary Skill Shortage (TSS) (Subclass 482)

– Employer Nomination Scheme (ENS)(Subclass 186)

– Regional Sponsored Migration Scheme (RSMS)(Subclass 187)

Refund of standard business sponsorship (SBS) fee (you MUST

provide reasons at Question 25)

Refund of nomination fee and/or Skilling Australians Fund (SAF)

levy of one of the following employer sponsored nominations (you

MUST provide reasons at Question 25):

– Temporary Skill Shortage (TSS) (Subclass 482)

– Skilled Employer Sponsored Regional Provisional (SESR)

(Subclass 494)

– Employer Nomination Scheme (ENS)(Subclass 186)

– Regional Sponsored Migration Scheme (RSMS)(Subclass 187)

What is the sponsorship, nomination or visa refund related to?

(Tick one box only)

Yes

Application previously made and not decided

Applicant is already an Australian citizen

Incorrect fee paid

Departmental error

Applicant did not sit test

APEC Business Travel Card

Certificate of Evidence of Residence Status

Freedom of Information (FOI)

Other

Is the refund related to a citizenship charge?

What is the citizenship refund related to?

(Tick one box only)

Yes

Is the refund related to any other fee or charge of the Department of

Home Affairs?

What is the other refund related to?

(Tick one box only)

Yes

Part F – Reason for refund

Is the refund related to a visa evidence charge?

Go to Part G

Go to Question 22No

Yes

You must provide a clear and well-supported reason for requesting a

refund.

If you are not the original payer and you gave the money to someone to

pay the VAC on your behalf, or a family member or close friend paid the

VAC on your behalf, we need permission from that person for you to

receive the refund.

If you paid via an agency, please provide the agent’s name and the

agency they work for.

If insufficient space, attach additional details

Part G – Supporting information

Part H – Documents checklist

Tick when completed

Please attach the following documents to this application.

Question Document Attached?

11 If the application was lodged over the

internet:

• a bank statement clearly listing the name

on the account and the payment

• a photocopy of the receipt

11 If the application was lodged at a counter or

by mail:

• the original receipt, or

• if you do not have the original receipt,

a Statutory Declaration, declaring that

you have either lost or misplaced the

receipt and that you have not used the

receipt to lodge a further application

16 If the payer is deceased:

• a certified copy of the payer’s death

certificate, in the event that death

occurred prior to an application decision

• supporting documentation of your

relationship to the payer, such as a

marriage certificate, birth certificate,

letter of probate, certified copy of the

payer’s will nominating you as a

beneficiary, or a completed/witnessed

Statutory Declaration declaring that there

is no payer letter of probate or will

18 A scanned copy or photo of the payer’s

signed identity document which shows the

photo AND the signature (i.e. a passport

including the signature page or signed

photo ID)

20 If the refund is not being paid to the same

account or credit card originally used to pay

the VAC we require:

• If the payer authorises you to receive the

refund we require a scanned copy or

photo of a bank statement clearly listing

your name as the account holder, the

bank branch number and the bank

account number

• If the refund is to be paid back to the

payer, a scanned copy or photo of their

bank statement listing their name as the

account holder, the bank branch number

and the bank account number

Note: Where a refund can not be paid to

the same account or credit card originally

used, our preferred method of payment is to

an Australian bank account. Refunds can

be paid to an overseas account but

depositing the refund to an Australian

account is faster.

25 Any supporting documents or statements to

support your reasons for requesting a

refund

WARNING: Giving false or misleading information is a serious offence.

Signature

Date

DAY MONTH YEAR

This declaration is to be completed by the person applying for the

refund.

I declare that:

• I am the original payer named in Question 1 or, if the original payer

is deceased, I am the authorised person named in Question19.

• I have attached all relevant supporting documentation.

• the information provided by me is true and correct.

Part I – Declaration

We strongly advise that you keep a copy of your completed

Refund request form and all attachments for your records.