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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)