GWMWater Tenancy Forms

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Change of Tenancy Form

Do you need to complete this form?

Residential Properties

Please complete form if you are:

a tenant moving into or vacating a property
an owner/agent registering a tenant moving into or vacating a property

Please note:

GWMWater cannot set up tenants on shared water meters. GWMWater defines a ‘shared meter’ as multiple occupiable properties sharing the one water meter. This is a requirement of the Water Act 1989.

Commercial Property

Please complete this form if you are an owner/agent/tenant of a commercial property where:

future accounts are to be issued to the occupier of the property
the occupier is vacating the property and accounts are to be issued to the owner

Please note, not all towns in our region have a drinking water supply. To see which towns do and do not have a drinking water supply, click here.

controller

Fields marked with an asterisk (*) must be completed.

Main section

Are you* Agent Tenant Owner

Advising us that the tenant is* Vacating Occupying

Property type* Residential Commercial

Is trade waste applicable* Unsure Yes No

Is the owner an individual or a company* Company Individual

Is the tenant an individual or a company* Company Individual

Individual details

Owner details

Title*

Surname*

Given name 1*

Given name 2

Address

Postal address*

Suburb/Town*

State*

Postcode*

Contact details

Business phone*

After hours phone

Mobile

Email*

Owner details

ABN

ACN

Company name

Business name

Address

Postal address*

Suburb/Town*

State*

Postcode*

Contact details

Title*

Surname*

Given name 1*

Given name 2

Business phone*

After hours phone

Mobile

Email*

Agent details

Company name

Town/Suburb

Contact details

Title*

Surname*

Given name 1*

Given name 2

Business phone*

After hours phone

Mobile

Email*

Applicant details

Vacating tenant details

Customer / Account number

Title*

Surname*

Given name 1*

Given name 2

Date of birth

Driver licence number

Business phone*

After hours phone

Mobile

Email*

Property address

Street address*

Suburb/Town*

State*

Postcode*

Lease end date*

Rental agent’s name

Forwarding address

Postal address*

Suburb/Town*

State*

Postcode*

Vacating details

Are all account holder/s vacating this property?* Yes No

Title

Surname

Given name

Contact number

Postal address

Suburb/Town

State

Postcode

Please provide details of account holders not vacating this property

Title

Surname

Given name

Contact number

Owner's name

Title

Surname

Given name 1

Given name 2

Company name (if applicable)

Meter reading (if known)

You may provide GWMWater with a reading of your meter. If no reading or an incorrect reading is provided, GWMWater will charge a fee to the landlord.

You may like to contact GWMWater for details on how to read your water meter and for current fees and charges. Please ring GWMWater on 1300 659 961 during business hours.

GWMWater has the right to check the meter reading provided and adjust accordingly if incorrect.

Meter number

Meter reading

Date of reading

Applicant details

Vacating tenant details

Customer / Account number

Account name*

Contact details

Title*

Surname*

Given name 1*

Given name 2

Business phone*

After hours phone

Mobile

Email*

Property address

Street address*

Suburb/Town*

State*

Postcode*

Lease end date*

Rental agent’s name

Forwarding address

Postal address*

Suburb/Town*

State*

Postcode*

Owner's name

Title

Surname

Given name 1

Given name 2

Company name (if applicable)

Meter reading (if known)

You may provide GWMWater with a reading of your meter. If no reading or an incorrect reading is provided, GWMWater will charge a fee to the landlord.

You may like to contact GWMWater for details on how to read your water meter and for current fees and charges. Please ring GWMWater on 1300 659 961 during business hours.

GWMWater has the right to check the meter reading provided and adjust accordingly if incorrect.

Meter number

Meter reading

Date of reading

Applicant details

Occupying tenant details

Title*

Surname*

Given name 1*

Given name 2

Date of birth*

Driver licence number

Business phone*

After hours phone

Mobile

Email*

Have you previously had an account with GWMWater Yes No

Click here to add another person

Second tenant details

Title*

Surname*

Given name 1*

Given name 2

Date of birth*

Driver licence number

Business phone*

After hours phone

Mobile

Previous address

Street address*

Suburb/Town*

State*

Postcode*

Do you need a final account for this address? Yes No

Lease end date

Previous address

Street address

Suburb/Town

State

Postcode

Do you need a final account for this address? Yes No

Lease end date

New property address

Street address*

Suburb/Town*

State*

Postcode*

Lease start date*

Mailing address if different to the above Yes No

Postal address

Postal address*

Suburb/Town*

State*

Postcode*

Owner's name

Title

Surname

Given name 1

Given name 2

Company name (if known)

Rental agent’s name

Registration auto concession

Please note:

You can only claim a water bill concession for your normal place of residency. This address must be listed on your concession card.

You may need to contact Centrelink to update your address prior to completing this form to apply for a discount.

Do you have an eligible concession card?* Yes No

Have you moved house in the last three (3) months?* Yes No

Have you notified Centrelink of your change of address?* Yes No

Can we confirm your details with Centrelink?* Yes No

Is this your principal place of residence?* Yes No

Are you claiming concession at any other property?* Yes No

Concession card type*

CRN*

Date of birth*

Date of issue*

Expiry date*

Name on card

Title*

Surname*

Given name 1*

Given name 2

Address on the card

Street address*

Suburb/Town*

State*

Postcode*

Meter reading (if known)

You may provide GWMWater with a reading of your meter. If no reading or an incorrect reading is provided, GWMWater will charge a fee to the landlord.

You may like to contact GWMWater for details on how to read your water meter and for current fees and charges. Please ring GWMWater on 1300 659 961 during business hours.

GWMWater has the right to check the meter reading provided and adjust accordingly if incorrect.

Meter number

Meter reading

Date of reading

Applicant details

Occupying tenant details

ABN

ACN

Company name*

Business name

Preferred billing name

Contact details

Title

Surname

Given name 1

Given name 2

Business phone*

After hours phone

Mobile

Property address

Street address*

Suburb/Town*

State*

Postcode*

Lease start date*

Mailing address if different to the above Yes No

Mailing address

Postal address*

Suburb/Town*

State*

Postcode*

Owner's name

Title

Surname

Given name 1

Given name 2

Company name (if applicable)

Rental agent’s name

Meter reading (if known)

You may provide GWMWater with a reading of your meter. If no reading or an incorrect reading is provided, GWMWater will charge a fee to the landlord.

You may like to contact GWMWater for details on how to read your water meter and for current fees and charges. Please ring GWMWater on 1300 659 961 during business hours.

GWMWater has the right to check the meter reading provided and adjust accordingly if incorrect.

Meter number

Meter reading

Date of reading

Vacating tenant details

Customer / Account number

Property address

Street address*

Suburb/Town*

State*

Postcode*

Lease end date*

Rental agent name

Tenant details

Title*

Surname*

Given name 1*

Given name 2

Date of birth

Driver licence number

Business phone*

After hours phone

Mobile

Forwarding address

Postal address*

Suburb/Town*

State*

Postcode*

Vacating details

Are all account holder/s vacating this property?* Yes No

Title

Surname

Given name 1

contact number

Postal address

Suburb/Town

State

Postcode

Please provide details of account holders not vacating this property

Title

Surname

Given name 1

Contact number

Meter reading (if known)

You may provide GWMWater with a reading of your meter. If no reading or an incorrect reading is provided, GWMWater will charge a fee to the landlord.

You may like to contact GWMWater for details on how to read your water meter and for current fees and charges. Please ring GWMWater on 1300 659 961 during business hours.

GWMWater has the right to check the meter reading provided and adjust accordingly if incorrect.

Meter number

Meter reading

Date of reading

Vacating tenant details

Customer / Account number

Property address

Street address*

Suburb/Town*

State*

Postcode*

Lease end date*

Rental agent name

Company details

ABN

ACN

Company name*

Business name

Contact details

Title

Surname

Given name 1

Given name 2

Business phone*

After hours phone

Mobile

Forwarding address

Postal address*

Suburb/Town*

State*

Postcode*

Meter reading (if known)

Subtext: You may provide GWMWater with a reading of your meter. If no reading or an incorrect reading is provided, GWMWater will charge a fee to the landlord.

You may like to contact GWMWater for details on how to read your water meter and for current fees and charges. Please ring GWMWater on 1300 659 961 during business hours.

GWMWater has the right to check the meter reading provided and adjust accordingly if incorrect.

Meter number

Meter reading

Date of reading

Occupying tenant details

Property address

Street address*

Suburb/Town*

State*

Postcode*

Lease start date*

Rental agent details

Tenant details

Title*

Surname*

Given name 1*

Given name 2

Date of birth*

Driver licence number

Business phone*

After hours phone

Mobile

Click here to add another person

Mailing address if different to above

Tenant postal address

Postal address*

Suburb/Town*

State*

Postcode*

Rental agent name

Tenant postal address

Postal address

Suburb/Town

State

Postcode

Lease start date

Rental agent name

Second tenant details

Title*

Surname*

Given name 1*

Given name 2

Date of birth*

Driver licence number

Business phone*

After hours phone

Mobile

Meter reading (if known)

You may provide GWMWater with a reading of your meter. If no reading or an incorrect reading is provided, GWMWater will charge a fee to the landlord.

You may like to contact GWMWater for details on how to read your water meter and for current fees and charges. Please ring GWMWater on 1300 659 961 during business hours.

GWMWater has the right to check the meter reading provided and adjust accordingly if incorrect.

Meter number

Meter reading

Date of reading

Occupying tenant details

Property address

Street Address*

Suburb/Town*

State*

Postcode*

Lease start date*

Rental agents name

Tenant mailing address if different to the above

Postal address

Street address*

Suburb/Town*

State*

Postcode*

Company details

ABN

ACN

Company name*

Business name

Preferred billing name

Contact details

Title

Surname

Given name 1

Given name 2

Business phone*

After hours phone

Mobile

Meter reading (if known)

You may provide GWMWater with a reading of your meter. If no reading or an incorrect reading is provided, GWMWater will charge a fee to the landlord.

You may like to contact GWMWater for details on how to read your water meter and for current fees and charges. Please ring GWMWater on 1300 659 961 during business hours.

GWMWater has the right to check the meter reading provided and adjust accordingly if incorrect.

Meter number

Meter reading

Date of reading

Vacating tenant details

Customer / Account number

Property address

Street address*

Suburb/Town*

State*

Postcode*

Lease end date*

Tenant details

Title*

Surname*

Given name 1*

Given name 2

Date of birth

Driver licence number

Business phone*

After hours phone

Mobile

Forwarding address

Postal address*

Suburb/Town*

State*

Postcode*

Vacating details

Are all account holder/s vacating this property?* Yes No

Title

Surname

Given name

Contact number

Postal address

Suburb/Town

State

Postcode

Please provide details of account holder/s not vacating this property.

Title

Surname

Given name 1

Contact number

Owner's name

Title

Surname

Given name 1

Given name 2

Company name (if applicable)

Meter reading (if known)

You may provide GWMWater with a reading of your meter. If no reading or an incorrect reading is provided, GWMWater will charge a fee to the landlord.

You may like to contact GWMWater for details on how to read your water meter and for current fees and charges. Please ring GWMWater on 1300 659 961 during business hours.

GWMWater has the right to check the meter reading provided and adjust accordingly if incorrect.

Meter number

Meter reading

Date of reading

Vacating tenant details

Customer / Account number

Vacating property address

Street address*

Suburb/Town*

State*

Postcode*

Lease end date*

Company details

ABN

ACN

Company name*

Business name

Preferred billing name

Contact details

Title

Surname

Given name 1

Given name 2

Business phone*

After hours phone

Mobile

Forwarding address

Postal address*

Suburb/Town*

State*

Postcode*

Owner's name

Title

Surname

Given name 1

Given name 2

Company name (if applicable)

Meter reading (if known)

You may provide GWMWater with a reading of your meter. If no reading or an incorrect reading is provided, GWMWater will charge a fee to the landlord.

You may like to contact GWMWater for details on how to read your water meter and for current fees and charges. Please ring GWMWater on 1300 659 961 during business hours.

GWMWater has the right to check the meter reading provided and adjust accordingly if incorrect.

Meter number

Meter reading

Date of reading

Occupying tenant details

Property address

Street address*

Suburb/Town*

State*

Postcode*

Lease start date*

Tenant’s mailing address if different to the above

Address

Postal address*

Suburb/Town*

State*

Postcode*

Tenant details

Title*

Surname*

Given name 1*

Given name 2

Date of birth*

Driver licence number

Business phone*

After hours phone

Mobile

Email*

Click here to add another person

Second tenant details

Title*

Surname*

Given name 1*

Given name 2

Date of birth*

Driver licence number

Business phone*

After hours phone

Mobile

Owner's name

Title

Surname

Given name 1

Given name 2

Company name (if applicable)

Meter reading (if known)

You may provide GWMWater with a reading of your meter. If no reading or an incorrect reading is provided, GWMWater will charge a fee to the landlord.

You may like to contact GWMWater for details on how to read your water meter and for current fees and charges. Please ring GWMWater on 1300 659 961 during business hours.

GWMWater has the right to check the meter reading provided and adjust accordingly if incorrect.

Meter number

Meter reading

Date of reading

Occupying tenant details

Property address

Street address*

Suburb/Town*

State*

Postcode*

Lease start date*

Tenant’s mailing address if different to the above

Address

Street address*

Suburb/Town*

State*

Postcode*

Company details

ABN

ACN

Company name*

Business name

Preferred billing name

Contact details

Title

Surname

Given name 1

Given name 2

Business phone*

After hours phone

Mobile

Email*

Owner's name

Title

Surname

Given name 1

Given name 2

Company name (if applicable)

Meter reading (if known)

You may provide GWMWater with a reading of your meter. If no reading or an incorrect reading is provided, GWMWater will charge a fee to the landlord.

You may like to contact GWMWater for details on how to read your water meter and for current fees and charges. Please ring GWMWater on 1300 659 961 during business hours.

GWMWater has the right to check the meter reading provided and adjust accordingly if incorrect.

Meter number

Meter reading

Date of reading

Additional information

Any other relevant information

Acknowledgement

I understand and acknowledge that:

the information provided in this application is correct and has been completed to the best of my knowledge.
at least two (2) working days notice must be given prior to vacating a property for a meter reading to be taken.
GWMWater may refuse this application if it becomes evident that any information or supporting documents provided are incomplete or false.
GWMWater is committed to protecting information provided in accordance with the principles of the Information Privacy Act 2000.

I confirm that I have read and agree to the above statements.*

GWMWater may use my email address for future correspondence.

Name of person completing this application*

Date*

Acknowledgement

I understand and acknowledge that:

the information provided in this application is correct and has been completed to the best of my knowledge.
a final meter reading will not be completed by GWMWater. The responsibility of finalising water accounts will be arranged between myself and the outgoing tenant and any outstanding charges are my responsibility. Unpaid amounts may be forwarded to GWMWater’s collection agents as per normal procedure. This may incur collection and legal costs to me without notice.
GWMWater may refuse this application if it becomes evident that any information or supporting documents provided are incomplete or false.

I confirm that I have read and agree to the above statements.*

GWMWater may use my email address for future correspondence.

Name of person completing this application*

Date*

Acknowledgement

I understand and acknowledge that:

the information provided in this application is correct and has been completed to the best of my knowledge.
I have notified the tenant that their personal information has been given to GWMWater for billing purposes.
I have notified the new tenant that if they are a holder of an eligible concession card, they need to contact GWMWater to register details.
at least two (2) working days notice must be given prior to occupying/vacating a property for a meter reading to be taken.
I have informed the tenant that it is their responsibility to notify GWMWater when vacating the property.
GWMWater may refuse this application if it becomes evident that any information or supporting documents provided are incomplete or false.

I confirm that I have read and agree to the above statements.*

GWMWater may use my email address for future correspondence

Name of person completing this application*

Date*

Acknowledgement

I understand and acknowledge that:

the information provided in this application is correct and has been completed to the best of my knowledge.
I have advised the tenant that future accounts will be billed to them following this request.
Should the tenant not pay their account, charges are my responsibility. Any unpaid amounts will be forwarded to GWMWater’s collection agents as per normal procedure. This may incur collection and legal costs to me without notice.
GWMWater may refuse this application if it becomes evident that any information or supporting documents provided are incomplete or false.

I confirm that I have read and agree to the above statements.*

GWMWater may use my email address for future correspondence.

Name of person completing this application*

Date*

Acknowledgement

I understand and acknowledge that:

the information provided in this application is correct and has been completed to the best of my knowledge.
I must give GWMWater at least two (2) working days notice prior to occupying a property for a meter reading to be taken.
If I do not notify GWMWater when vacating property, I will be liable for the cost of water used until the next meter reading.
GWMWater may refuse this application if it becomes evident that any information or supporting documents provided are incomplete or false.

I confirm that I have read and agree to the above statements.*

GWMWater may use my email address for future correspondence.

Name of person completing this application*

Date*

Acknowledgement

I understand and acknowledge that:

the information provided in this application is correct and has been completed to the best of my knowledge.
a meter reading will not be taken upon my occupancy of the property.
it is my responsibility to notify GWMWater when I vacate the property.
payment of water bills for this property is to be privately negotiated between the owner and myself.
GWMWater may refuse this application if it becomes evident that any information or supporting documents provided are incomplete or false.

I confirm that I have read and agree to the above statements.*

GWMWater may use my email address for future correspondence.

Name of person completing this application*

Date*

Acknowledgement

I understand and acknowledge that:

the information provided in this application is correct and has been completed to the best of my knowledge.
at least two (2) working days notice must be given prior to vacating a property for a meter reading to be taken.
GWMWater may refuse this application if it becomes evident that any information or supporting documents provided are incomplete or false.

I confirm that I have read and agree to the above statements.*

GWMWater may use my email address for future correspondence.

Name of person completing this application*

Date*

Acknowledgement

I understand and acknowledge that:

the information provided in this application is correct and has been completed to the best of my knowledge.
GWMWater may refuse this application if it becomes evident that any information or supporting documents provided are incomplete or false.
a final meter reading will not be completed on my behalf. Charges currently outstanding will be transferred back to the owner of the property.
finalising the water bills will be arranged between myself and the owner. Any outstanding charges remain the responsibility of the owner of the property.

I confirm that I have read and agree to the above statements.*

GWMWater may use my email address for future correspondence.

Name of person completing this application*

Date*

Acknowledgement

I understand and acknowledge that:

the information provided in this application is correct and has been completed to the best of my knowledge.
at least two (2) working days notice must be given prior to vacating a property for a meter reading to be taken.
GWMWater may refuse this application if it becomes evident that any information or supporting documents provided are incomplete or false.

I confirm that I have read and agree to the above statements.*

GWMWater may use my email address for future correspondence.

Name of person completing this application*

Date*

Acknowledgement

I understand and acknowledge that:

the information provided in this application is correct and has been completed to the best of my knowledge.
a final meter reading will not be completed on my behalf. Charges currently outstanding will be transferred back to the owner of the property.
the responsibility of finalising water accounts will be arranged between the owner and the outgoing tenant. Any outstanding charges remain the responsibility of the property owner. Unpaid amounts may be forwarded to GWMWater’s collection agents as per normal procedure. This may incur collection and legal costs to me without notice.
GWMWater may refuse this application if it becomes evident that any information or supporting documents provided are incomplete or false.

I confirm that I have read and agree to the above statements.*

GWMWater may use my email address for future correspondence.

Name of person completing this application*

Date*

Acknowledgement

I understand and acknowledge that:

the information provided in this application is correct and has been completed to the best of my knowledge.
I have informed the tenant that it is their responsibility to notify GWMWater when vacating the property. I have notified the tenant that their personal information has been given to GWMWater for billing purposes.
I have notified the new tenant that if they are a holder of an eligible concession card, they need to contact GWMWater to register details.
at least two (2) working days notice must be given prior to a tenant occupying the property for a meter reading to be taken.
GWMWater may refuse this application if it becomes evident that any information or supporting documents provided are incomplete or false.

I confirm that I have read and agree to the above statements.*

GWMWater may use my email address for future correspondence.

Name of person completing this application*

Date*

Acknowledgement

I understand and acknowledge that:

the information provided in this application is correct and has been completed to the best of my knowledge.
I have made the owner aware future accounts will be billed to the tenant and if the tenant defaults, charges remain the responsibility of the owner. Unpaid amounts may be forwarded to GWMWater’s collection agents as per normal procedure. This may incur collection and legal costs to me without notice.
GWMWater may refuse this application if it becomes evident that any information or supporting documents provided are incomplete or false.

I confirm that I have read and agree to the above statements.*

GWMWater may use my email address for future correspondence.

Name of person completing this application*

Date*

Privacy statement

GWMWater is committed to protecting information provided in accordance with the principles of the Information Privacy Act 2000.

Lodgement

This form will be submitted to GWMWater online. If you have any difficulties in submitting this form please contact us on 1300 659 961.

Thank you for your submission

Storage Manager

Wimmera-Glenelg System

Do you need to complete this form?

Residential Properties

Commercial Property