Cash Claims

LEASEPLAN CASH CLAIMS FORM

CONTACT DETAILS
BANK DETAILS FOR EFT
UPLOAD YOUR FILES & EXPENSES

CONTACT DETAILS

Driver First Name: *

Driver Last Name: *

Driver's Address: *

Driver's Suburb: *

Driver's State: *

Postal Code: *

Driver's Company Name: *

Driver's Email Address: *

Leased Vehicle Rego No: *

Phone Number: *

Reason for claim: *

Other Reason: *

BANK DETAILS FOR EFT

Refund will be made by electronic funds transfer to the bank account listed below. Payment cannot be made by cheque.

Account Holders Name: *

BSB: *

Account Number: *

UPLOAD YOUR FILES & EXPENSES

Enter your expense details below and attach supporting documents via the "Upload File" button - you can include up to 5 in each submission

Expense 1

Date: *

Claim Type: *

Claim Odometer: *

Amount ($): *

I declare that this purchase was undertaken in a limited capacity, as an agent for LeasePlan Australia.

Please note that cash claims may be subject to a $50 fee when the claim is processed.

Please note that to be reimbursed for any expenses you must have sufficient surplus funds in your overall operating cost budgets. You can check your current operating cost balance on your most recent Motor Vehicle Report (MVR). You can find this in your email inbox each month, or when you log in to LeasePlan Online. Where a cash claim is submitted without sufficient balance, it will be declined. You can resubmit when you have sufficient balance.