WĂƐƐĞŶŐĞƌ ĐŽŵƉĞŶƐĂƟŽŶ claim form Passenger Details Title First Name
Claim Details Month
Surname
:ŽƵƌŶĞLJ ĨƌŽŵ
Address
Journey to Post Code
Year ZŽƵƚĞ EŽ͘
ŽŵŵĞŶƚƐ LJŽƵ ǁŝƐŚ ƚŽ ŵĂŬĞ͗
Phone (BH) Mobile Signature
Metcard Ticket Details Monthly
Six Monthly
Zone 1
Zone 1&2
Yearly
Please enter the 15 or 16 digit number
Ticket Expiry date Remember to enclose your expired monthly, six monthly Žƌ LJĞĂƌůLJ ƟĐŬĞƚ Žƌ Ă ƉŚŽƚŽĐŽƉLJ ŽĨ ďŽƚŚ ƐŝĚĞƐ ŽĨ ƚŚĞ ƟĐŬĞƚ ŝĨ LJŽƵ ĂƌĞ ƐƟůů ƵƐŝŶŐ ŝƚ͘
OR myki Card Details
Today’s date KĸĐĞ ƵƐĞ ŽŶůLJ Claim Number WůĞĂƐĞ ĐŽŵƉůĞƚĞ ƚŚŝƐ ĨŽƌŵ͕ ƉůĂĐĞ ŝŶ ĂŶ ĞŶǀĞůŽƉĞ ĂŶĚ ĂĚĚƌĞƐƐ ƚŽ͗ WĂƐƐĞŶŐĞƌ ŽŵƉĞŶƐĂƟŽŶ Yarra Trams Reply Paid GPO Box 5231 Melbourne VIC 3001 zŽƵ ǁŝůů ŶŽƚ ƌĞƋƵŝƌĞ Ă ƉŽƐƚĂŐĞ ƐƚĂŵƉ ŝĨ LJŽƵ ƉŽƐƚ ƚŚĞ ĐůĂŝŵ ǁŝƚŚŝŶ ƵƐƚƌĂůŝĂ͘
dŚŝƐ ϭϱ ĚŝŐŝƚ ĐĂƌĚ ŶƵŵďĞƌ ĐĂŶ ďĞ ĨŽƵŶĚ ŽŶ LJŽƵƌ ŵLJŬŝ͘ ZĞĂƐŽŶ ĨŽƌ ĐŽŵƉĞŶƐĂƟŽŶ͗ ŽŵƉĞŶƐĂƟŽŶ EŽƟĐĞ /ƐƐƵĞĚ ĞůĂLJ ŽĨ ŵŽƌĞ ƚŚĂŶ ϯϬ ŵŝŶƵƚĞƐ ǁŝƚŚŽƵƚ ďĞŝŶŐ ĂĚǀŝƐĞĚ ďLJ zĂƌƌĂ dƌĂŵƐ ŽĨ ƌĞĂƐŽŶ ĨŽƌ ĚĞůĂLJ ǁŚĞŶ on board a tram service WƌŽůŽŶŐĞĚ͕ ƐĞǀĞƌĞ ƐĞƌǀŝĐĞ ĚŝƐƌƵƉƟŽŶ ĂŶĚ ŶŽ ĂůƚĞƌŶĂƟǀĞ ƚƌĂŶƐƉŽƌƚ ŽƉƟŽŶƐ ĐŽŵŵƵŶŝĐĂƚĞĚ by Yarra Trams
zĂƌƌĂ dƌĂŵƐ ƵƐƚŽŵĞƌ &ĞĞĚďĂĐŬ ĂŶĚ ůŽƐƚ ƉƌŽƉĞƌƚLJ 1800 800 007 (6am–midnight daily) or visit yarratrams.com.au
z Z ϳϵϳϵ ϬϳͬϭϮ WƌŝŶƚĞĚ ŽŶ ƌĞĐLJĐůĞĚ ƉĂƉĞƌ͘ WůĞĂƐĞ ĚŝƐƉŽƐĞ ŽĨ ƚŚŝƐ ďƌŽĐŚƵƌĞ ƚŚŽƵŐŚƞƵůůLJ͘
myki Card number