RENTAL BONDS
OFFICE OF REGULATORY SERVICES
Department of Justice and Community Safety

OCCUPANCY REFUND OF BOND FORM		
Form 604 - OR	

Residential Tenancies Act 1997		

IMPORTANT INFORMATION
This form is to be used to refund an occupancy bond under the Residential Tenancies Act 1997 (the Act).  You can access the Act at www.legislation.act.gov.au.  You may also obtain further information and forms at www.ors.act.gov.au. 
	
PRIVACY INFORMATION
The Act authorises the Registrar-General to collect the information required by this form.  The Registrar-General prevents any unreasonable intrusion into a person’s privacy in accordance with the Privacy Act 1988 (C’wlth).  However, the Registrar-General provides identifiable information to law enforcement organisations and authorised organisations that have legal authority to request information under prescribed circumstances.  Non-identifying information is regularly released to the Real Estate Institute of Australia.
	
CONTACT INFORMATION	
Send completed forms to the Office of Regulatory Services:	GPO Box 158, Canberra ACT 2601	
Lodge in person at the Office of Regulatory Services:	255 Canberra Avenue, Fyshwick ACT 2609	
Office Hours:	9:00am to 4:30pm Monday to Friday	
General enquiries telephone number:	(02) 6207 1178	
Website address:	www.ors.act.gov.au
	
INSTRUCTIONS FOR COMPLETION
•	If completing this form by hand please use a black pen only.
•	Any alteration to information provided on this form must be struck through with a black pen.  Substitute information must be clear and all parties must sign in the margin.  Do not use correction fluid or tape.
•	Refunds are paid by ‘Non Negotiable’ cheque or by electronic funds transfer (EFT).  Cash refunds are not available.
•	If EFT account details are not completed in full refunds will be paid by cheque or held as unclaimed monies.
•	If the funds are to be deposited by EFT into a third party account, the third party account details must be noted next to the occupant or grantor’s name and the occupant/s or grantor must sign, authorising the funds to be refunded into the third party account.
•	Only persons that have contributed to the bond should be noted as occupants.  Children of the occupants or any other person that does not contribute to the payment of the bond should not be noted on this form.
•	To avoid unnecessary delays, please ensure that the form is completed correctly and in full.  
•	Please note bond money will be divided equally among the occupants noted on the occupancy bond lodgement form upon receipt of a validly completed occupancy refund of bond form.  If the occupants do not wish the bond to be refunded in equal amounts, a written statement signed by all occupants must accompany the occupancy refund of bond form indicating the amount to be refunded to each occupant.

	RENTAL BONDS
OFFICE OF REGULATORY SERVICES
Department of Justice and Community Safety

OCCUPANCY REFUND OF BOND FORM		
Form 604 - OR	

Residential Tenancies Act 1997		

OCCUPIED PREMISES DETAILS	
Unit Number	Street Number	Street & Complex Name (If Applicable)	Suburb	Postcode	

REFUND DETAILS (Do not sign a blank form, ensure this section is completed in full before signing)	
Amount of bond to be refunded to the Occupant	Amount of bond to be refunded to the Grantor	

OCCUPANT DETAILS (Only occupants that have contributed to the bond, not children or other people that have not contributed to the bond, should be noted) 	
Full Name		Account Holders Name		
Postal Address		Account Number		
		BSB Number (6 digits)		
Suburb / Postcode		Bank and Branch Name		
Signature	Contact Phone Number		
	Date Signed		
Full Name		Account Holders Name		
Postal Address		Account Number		
		BSB Number (6 digits)		
Suburb / Postcode		Bank and Branch Name		
Signature	Contact Phone Number		
	Date Signed		
Full Name		Account Holders Name		
Postal Address		Account Number		
		BSB Number (6 digits)		
Suburb / Postcode		Bank and Branch Name		
Signature	Contact Phone Number		
	Date Signed		

GRANTOR DETAILS 	
Full Name or Company		Account Holders Name		
Postal Address		Account Number		
		BSB Number (6 digits)		
Suburb / Postcode		Bank and Branch Name		
Signature	Contact Phone Number		
	Date Signed		

OFFICE USE ONLY	
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