Information statement application

Important information

All applicants must use this application form. Information supplied is to be precise, as incorrect, incomplete or illegible forms will result in return of application. A complete current copy of the title/s and plan, less than three (3) months old must be supplied with the application or it will be returned. Providing all information is supplied, applications shall be processed within five (5) business days. Goulburn Murray Water will undertake a search based on the information supplied in this application. If no property match is found a Not Rated Certificate will be issued. Please note that Not Rated Certificates still incur a fee.

Information statement application
Applicant details

When you save a draft the Applicant Email Address will receive an email with a link back to the partially completed form.

Postal address
Application details
Application Type This is a required field.
Application Type This is a required field.
Property details

Please list the Volume / Folio / Lot No / Plan No / Crown Allotment / Section / Parish

Attach a current (less than 12 months old) Certificate of Title and Title Plan.

Terms of Service This is a required field.

All applicants must use this application form. Information supplied is to be precise; as incorrect, incomplete or illegible forms will result in return of application. Goulburn Murray Water will undertake a search based on the information supplied in this application. If no property match is found a Not Rated Certificate will be issued. Please note that Not Rated Certificates still incur a fee.

Terms of Service This is a required field.
Payment
Submit

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.