Use this form to request a refund from your Jacana Energy account. Residential or Commercial Is the refund for a residential or commercial account? * Residential Commercial If your credit value is under $999.99, you can also request your refund over the phone. Please phone us on 1800 522 262 during business hours. If you’re on the Stay Connected program, it’s a little bit different. Please call us on +1800 522 262 to talk about your options. Your details ABN Account number * Account name Business representative’s details Position within business Title First name * Last name * Date of birth Phone number * Email Email * Confirm email * Choose how you want to receive your funds I want to be refunded: * The full balance on the account A set amount of Refund amount Bank transfer refunds take 7-10 working days to be credited to your account. Your bank account details Financial institution name * Branch location Account name * BSB * Account number * Your postal address Postal address Lot no Unit no Street no Street name Suburb State Postcode Authorisation I acknowledge that I am the account holder or financially responsible contact for this account. I acknowledge that I have the authority to act on behalf of the nominated business. CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. Submit