Online DDR Authority

* Fields marked red must be filled in
* At least one of the fields marked blue must be filled in
Biller Details:
Biller ID:
Biller Name:
Biller ABN:
Customer Details:
First Name:* Last Name:*
Email:* Mobile Phone:*
Address Details:
Mailing Address:*Line
2:
Postcode:*(please enter your postcode to select a suburb below)    
Suburb /
State:*
Nominated Account:
Select a payment type:Bank Account Credit
Card
BSB Number:*
Account Name:*
Account Number:*
Terms and Conditions:

Direct Debit Request Service Agreement

By submitting this Direct Debit Request you acknowledge and agree to the following terms
and conditions:

  • You authorise Bill Buddy to debit your nominated account in the manner
    specified by your Biller. Your Biller is the organisation providing you with the product or
    service for which we are debiting your account.

  • We will provide you with at least 14 days prior notice in writing if we propose
    to vary any of the terms of the debit arrangements in place between us.

  • You should contact your Biller if you wish to defer or alter any of the debit
    arrangements.

  • You will need to advise us in writing if you wish to cancel a Direct Debit
    Request. Such notice should be delivered to us at least one working day before the due date
    for payment or as otherwise stipulated in our Terms and Conditions.

  • If you wish to dispute any Debit Item you should refer to us in the first
    instance and we will seek to resolve the matter with you. If we cannot resolve the dispute
    you can contact your financial institution at which your nominated account is held. Your
    financial institution will then commence a formal claims procedure on your behalf.

  • Some financial institution accounts do not facilitate direct debits. If you are
    uncertain, you should check with your financial institution before signing a Direct Debit
    Request, to ensure that your nominated account is able to receive direct debits through the
    Bulk Electronic Clearing System.

  • Before completing the Direct Debit Request, you should check the details of
    your nominated account against a recent statement from your financial institution, to ensure
    that your account details are correct.

  • You agree that it is your responsibility to have sufficient cleared funds in
    your nominated account by the due date to enable payment of Debit Items in accordance with
    the directions of your Biller.

  • We will initiate the Debit Item on the due date as advised by your Biller. If
    the due date for payment falls on a day which is not a business day in Queensland, then the
    Debit Item will be processed on the next business day. You should enquire directly with your
    financial institution if you are uncertain as to when the Debit Item will be processed to
    your account.

  • If a Debit Item is returned unpaid by your financial institution, you authorise
    us to present a further debit for payment. Furthermore you authorise Bill Buddy to debit
    your account for our Dishonour Charge.

  • We will ensure the details of your personal records and account details held by
    us remain confidential. However, if you lodge a claim in relation to an alleged incorrect or
    wrongful debit, it may be necessary for us to release such information to your financial
    institution or its representative, or to our financial institution or its representative to
    enable your claim to be assessed. Further, we will share certain personal information with
    our contracted agents for statistical purposes only. This does NOT include your bank account
    or credit card details.

Final Declaration:

By submitting this Direct Debit Request you acknowledge having read and
understood the terms and conditions governing the debit arrangements between you and Bill Buddy Pty Ltd
as set out in this Request and in the Direct Debit Request Service Agreement.

Further, you expressly authorise Bill Buddy Pty Ltd to draw any fees under clause 10 of the
Direct Debit Request Service Agreement from the account nominated in this form.

  • I/We have read the Terms and Conditions / Direct Debit Request Service Agreement acknowledge and
    agree to the same.
  • I/We acknowedge that any applicable transaction and service fees may be altered by Bill Buddy Pty
    Ltd with 14 days notice.
  • I/We am/are the cardholder of the above credit card or the authorised signatory of the above bank
    account.
  • I/We authorise the financial institution to release information allowing Bill Buddy Pty Ltd to
    verify my/our account details.
  • I/We hereby indemnify and shall keep indemnified Bill Buddy Pty Ltd for debiting my/our account in
    accordance with the Direct Debit Request Service Agreement.
  • I/We acknowledge and agree that Bill Buddy Pty Ltd in no way endorses or is responsible for the
    services provided by your biller/service provider and its role is limited to facilitating payments
    between you and them by acting on instructions provided by them.
I agree with the above declaration*
I am the account / card holder of the above account and authorise Bill Buddy Pty Ltd to communicate with me using the details supplied above, including for verification purposes.*
I acknowledge that details of this online session (including my IP address) will be retained and any fraudulent activity reported to the authorities.*