Clause 7.2 of the Wallet Holder Terms & Conditions allows aglow to refund a wallet balance where we are reasonably satisfied there is genuine hardship or exceptional circumstances. This form is how you apply.
A refund is not the only outcome. We can also pause your contributions, reduce the amount, transfer your balance to another aglow-enabled provider, or refund part of it.
Grounds we can consider: medical injury or illness; financial hardship; and permanent relocation to a location where attending your clinic is no longer reasonably practicable. Other exceptional circumstances can be considered on their merits.
What this form is not for: clause 7.1 excludes change of mind, convenience and buyer's remorse. An application describing only a change of mind will be assessed under 7.1 and declined, with reasons given.
Your contributions are paused as soon as we receive your application, so nothing further is debited while we assess. Assessments may take up to 30 days.