Property Details Lot Owner's Name* First Last Address* Street address Address line 2 City State Postcode Building Name* Lot Number* CTS Number Reimbursement Details What is the reimbursement for?* Amount to be reimbursed* Note: Please ensure your bank account details are correct. Payments made to incorrect bank details may not be recoverable. Bank Account Name* BSB* Account Number* Supporting documents Supporting Documents Tax invoice Other proof of payment Attach files Drop files here or Select files Accepted file types: doc, docx, jpg, gif, png, pdf, Max. file size: 4 MB. 4MB file size limit. Your contact details Phone*Email* Acknowledgement* By ticking this box I consent to the information provided being used by Capitol / Bright & Duggan Property Group to complete the verification process. *To ensure the security of your information, we will initiate a verification process by verbally confirming your bank account details. This process involves one of our team members contacting you by telephone following the lodgement of the form. The payment of your reimbursement can take up to 14 days, following bank verification and committee approval if required. We thank you for your understanding and patience whilst it is processed.