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Plan Application Form

An $10 fee is payable for all new applications.

* indicates required field

Property and Owner Details

Lot Number
Plan Number
* Unit/Street Number
* Street Name
* Town
* Post Code
* Name of Current Owner

Applicant Details

* Applicants Name
* Contact Number
* Postal Address
* Email Address
Fax Number
Information required for Sewer Services
Information required for Water Services
* Application Date

Preferred Delivery Method

* Delivery Method
Additional Comments


* Method of payment ($10.00 per property).
Please contact East Gippsland Water for payment processing.
Name of Card Holder
* Contact Number - Business Hours)