PLEASE NOTE: A direct debit arrangement does not constitute a payment plan. If you have outstanding rates and charges, and would like to arrange a payment plan, please complete the Payment Plan online application form or contact our Customer Service Team on 13 48 10.

SECTION 1 - Customer's Authority

I/we *

Authorise and request TOWNSVILLE CITY COUNCIL (APCA User ID Number 207492) to arrange funds to be debited from my/our account at the financial institution identified below through the Bulk Electronic Clearing System (BECS). The authority is to remain in force within the terms outlined in Section 2.

Customer address *

Suburb *

Postcode *

Preferred contact number *

Email address *

SECTION 2 - Details of Account to be Debited

Property address *

Suburb *

Postcode *

Billing Reference Number (if known) 🛈

Select one of the options below *

Debit my account as a fixed recurring amount

Debit my account to the value of the nett rates and charges on the due date of the notice

Change the amount of an existing direct debit

Please cancel my existing direct debits with Townsville City Council

Note: Changes to account details or frequency require a new direct debit, please choose to cancel and create a new direct debit

Amount of each payment (in dollars and cents) *

Frequency of payment

Weekly

Fortnightly

Monthly

Date first payment will be made +

Date change to be made (requests can take up to 10 business days to be actioned) +

SECTION 3 - Payment Details

Name of Financial Institution *

Branch *

Account Holder's Name *

BSB No. *

Account No. *

SECTION 4 - Agreement

I/We acknowledge that this Direct Debit arrangement is governed by the terms of Authorisation the DDRSA attached to this request; and

I/We authorise Townsville City Council (Debit User) to verify (if need be) the details of the account with my/our Financial Institution mentioned above.

Signature *

clear

Privacy Collection Notice:
Townsville City Council collects and manages personal information in the course of performing its activities, functions and duties. We respect the privacy of the personal information held by us. The way in which Council manages personal information is governed by the Information Privacy Act 2009 (Qld). We are collecting your personal information in accordance with Local Government Act 2009 so that we can assess your application and update your details in relation to your account. Generally, we will not disclose your personal information outside of Council unless we are required to do so by law, or unless you have given us your consent to such disclosure. For further information about how we manage your personal information please see our Information Privacy Policy.