Payment Assistance Policy · caznet.com.au
| Full nameMust match the name on your account | |
| Account numberFound on your invoice | |
| Contact phone number | |
| Contact email address | |
| Postal address | |
| Preferred contact method |
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| Date of birth |
| Period of assistance required |
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| Reason for hardshipSelect all that apply |
Illness (personal or household)
Unemployment
Low or reduced income
Domestic or family violence
Death in the family
Natural disaster
Change in personal circumstances
Other unexpected change
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| Brief description of your situationPlease explain what has changed and why you are having difficulty paying | |
| Assistance being requestedOptional — describe what arrangement would help |
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Short-term assistance (up to 3 billing cycles) or domestic/family violence: You do not need to provide documentation unless the amount owed exceeds $1,000, you have been a customer for less than 2 months, or we have reasonable grounds to suspect fraud. Long-term assistance: We may ask you to provide documentation such as a medical certificate, a statement of your financial position, income confirmation, or evidence of engagement with a financial counsellor. We will only request what is strictly necessary. |
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| Documents attachedList any documents included with this form | |
By signing below, I declare that:
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Return this completed form to Caznet by any of the following methods: Email: caznet@caznet.com.au · Post: GPO Box 2409, Adelaide SA 5001 · Phone: 1300 229 638 (9:00am–5:00pm ACST, Mon–Fri) We will assess your application within 5 business days of receiving your completed form and advise you of the outcome within 2 business days of completing the assessment. There is no charge for an assessment. For our full Payment Assistance Policy, visit caznet.com.au/about/legal/financial-hardship |