Account - Direct debit application

Payments will be automatically processed from your bank account on the 16th day of each month after the application has been received.

Goulburn Murray Water does not charge additional fees for this method of payment.

Should you require assistance to complete this form, please contact our office on 1800 013 357

Direct debit application
Applicant details
Postal address
Request details
Request Type (Please tick all that apply) This is a required field.
Request Type (Please tick all that apply) This is a required field.
Fixed charges and variable charges

Please refer to your GMW account/s for payment amounts and due dates.

Type of Direct Debit This is a required field.
Type of Direct Debit This is a required field.
Direct Debit Timing This is a required field.

Please refer to your GMW account/s for payment amounts and due dates.

Direct Debit Timing This is a required field.
Monthly payment option

Monthly Payments to pay charges on the 16th of each month.

Overdue amounts must be paid in full within 6 months. Interest charges will apply on all unpaid balances after the due date for full payment.

Monthly Payment Cut-off This is a required field.
Monthly Payment Cut-off This is a required field.
Details of account to be debited
Applicant declaration
Applicant Declaration This is a required field.

Please refer to the Direct Debit Service Agreement below this form.

Applicant Declaration This is a required field.
Sign here
Submit

Direct Debit Request Service Agreement

Definitions

  • Us or We – Goulburn Murray Water Rural Water Authority.
  • You – the customer who signed the Direct Debit Request.
  • Your Financial Institution – the Financial Institution where You hold the account that You have authorised Us to debit.
  • Account – the account held at Your Financial Institution from which We are authorised to debit funds.
  • Agreement – this Direct Debit Request Service Agreement between You and Us.
  • Business Day – any day other than a Saturday or a Sunday or a public holiday listed in Victoria.
  • Non-Business Day – is any day that is not a Business Day.
  • Debit Day – the day that payment by You to Us is due.
  • Debit Payment – a particular transaction where a debit is made.
  • Direct Debit Request – the Direct Debit Request Application Form signed by You.

1. Debiting your account

1.1 By signing a Direct Debit Request, You have authorised Us to arrange for funds to be debited from Your Account. You should refer to the Direct Debit Request and this Agreement for the terms of the arrangement between Us and You.

1.2 We will only arrange for funds to be debited from Your Account as authorised in the Direct Debit Request.

1.3 The first drawing under this Direct Debit Agreement will occur on the 16th day of each month after the application has been received.

1.4 If drawing date falls due on a Non-Business Day, Your Account will be debited on the next Business Day thereafter.

2. Changes by us

2.1 We may vary any details of this Agreement or a Direct Debit Request at any time by giving You at least twenty-one (21) days written notice.

3. Changes by you

3.1 Subject to sections 3.2 and 3.3, You may change the arrangements under a Direct Debit Request by contacting Us at: GoulburnMurray Water, 40 Casey Street, (PO Box 165), Tatura VIC 3616 Email: reception@gmwater.com.au Phone: 1800 013 357 Fax: (03) 5833 5501

3.2 If You wish to stop or defer a Direct Debit Payment, You must notify Us in writing at least twenty-one (21) days prior to the next Debit Day. This notice should be given to Us in the first instance.

3.3 You may also cancel Your authority for Us to debit Your account at any time by giving Us twenty-one (21) days notice in writing prior to the next Debit Day. This notice should be given to Us in the first instance. 

4. Your obligations

4.1 It is Your responsibility to ensure that there are sufficient clear funds available in Your Account to allow a Direct Debit Payment to be made in accordance with the Direct Debit Request.

4.2 If there are insufficient clear funds in Your Account to meet a Direct Debit Payment: You may be charged a fee and/or interest by Your Financial Institution;

(a) You may also incur fees or changes imposed or incurred by Us; and

(b) You must arrange for the Direct Debit Payment to be made by another method or arrange for sufficient clear funds to be in Your Account by an agreed time so that We can process the Debit Payment

4.3 If You have two consecutive payments dishonoured, in addition to the fees and charges payable under clause 4.2, We shall automatically terminate Your Direct Debit Agreement and You will be required to submit a new application to continue Your direct debit arrangement.

4.4 You should check Your Account statement to verify that the amounts debited from Your Account are correct

5. Dispute

5.1 If You believe that there has been an error in debiting Your Account, You should notify Us directly at: Goulburn-Murray Water, 40 Casey Street, (PO Box 165), Tatura VIC 3616 Email: reception@gmwater.com.au Phone: 1800 013 357 Fax: (03) 5833 5501

5.2 If We conclude as a result of our investigations that Your account has been incorrectly debited We will respond to Your query by arranging for Your Financial Institution to adjust Your Account (including interest and charges) accordingly. We will also notify You in writing of the amount by which Your Account has been adjusted.

5.3 If We conclude as a result of our investigations that Your Account has not been incorrectly debited We will respond to Your query by providing You with reasons and any evidence for this finding.

5.4 Any queries You may have about an error made in debiting Your Account should be directed to Us in the first instance so that We can attempt to resolve the matter between Us and You. If We cannot resolve the matter You can still refer it to Your Financial Institution which will obtain details from You of the disputed transaction and may lodge a claim on Your behalf.

6. Accounts

6.1 You should check:

(a) With Your Financial Institution whether direct debiting is available from Your Account as direct debiting is not available on all accounts offered by financial institutions.

(b) Your account details which You have provided to Us are correct by checking them against a recent Account statement; and

(c) with Your Financial Institution before completing the Direct Debit Request if You have any queries about how to complete the Direct Debit Request.

7. Confidentiality

7.1 We will keep any information (including Your Account details) in Your Direct Debit Request confidential. We will make reasonable efforts to keep any such information that We have about You secure and to ensure than any of our employees or agents who have access to information about You do not make any unauthorised use, modification, reproduction or disclosure of that information.

7.2 We will only disclose information that We have about You:

(a) to the extent specifically required by law; or

(b) for the purposes of this Agreement (including disclosing information in connection with any query or claim) 

8. Notice

8.1 If You wish to notify Us in writing about anything relating to this Agreement, You should write to: Goulburn-Murray Water, 40 Casey Street, (PO Box 165), Tatura VIC 3616 Email: reception@gmwater.com.au

8.2 We will notify You by sending a notice in the ordinary post to the address You have given Us in the Direct Debit Request.

8.3 Any notice will be deemed to have been received four Business Days after it is posted.

ABN 4676 1336 846

Protecting your privacy

Goulburn-Murray Water (GMW) protects your privacy by collecting and handling your personal information in accordance with the requirements of the Privacy & Data Protection Act 2014. Your personal information is collected on this form and will be used for the purpose of administering this application, updating our records and updating the Victorian Water Register (if applicable). Information collected is usually disclosed to staff involved in processing your application, contractors, connection staff, other relevant GMW staff and government departments. Failure to provide the information sought may result in processing delays or non acceptance of your application. It may also limit our ability to be able to provide various programs or services. You may gain access to and correct your personal information. For further information please refer to our Privacy Policy at www.g-mwater.com.au or call 1800 013 357 to obtain a copy of this policy.