Follow the steps to complete your refund application form.

1. Click ‘Get Form’ button to obtain the form and open it in the document editor.
2. Identify the type of refund you are applying for by crossing the appropriate circle. Options include registration, licence, or appointment refunds. Make sure to complete the relevant sections corresponding to your choice.
3. In Section 1, enter your personal details clearly. This includes your surname or company name, given names or ACN, postal address for the refund, postcode, and contact phone number. You may also provide your email address, which is optional.
4. Proceed to the relevant section for the refund type you selected. For a registration refund, complete Section 2 by providing details such as the registration number, engine/serial number, vehicle identification number, and reason for the refund. If applicable, attach supporting documents as specified.
5. If you are requesting a licence refund (Section 3), fill in the required fields, including licence number, reason for refund, date of birth, date of expiry, and any relevant details about voluntary surrender or deceased circumstances.
6. Complete Section 4 if you are applying for an appointment refund by entering the appointment number, date, and attaching necessary receipts and medical certificates.
7. If you are submitting the refund application via an agent, fill out Section 6 with the agent’s name, address, and signature, along with your own signature.
8. In Section 7, affix your signature to declare that the information provided is true and complete. Include the date of signing.
9. Once you have filled out all sections, you can save your changes, download a copy, print the form, or share it as needed.

Complete your AU VicRoads VRPIN00215 refund application online today.