Pure Busselton Water


These forms can be downloaded by clicking on the link.

If you have any difficulty downloading forms, or require any further information,
please contact us. 
Forms       
Direct Debit Application
   
Direct Debit Request Service Agreement
   
Installation and Maintenance Report for Backflow Prevention Device
   
Application form to be completed for the use of a fixed upstand
   
Application and Agreement form to be completed to use a Hydrant Point
   
Land Development Agreement

Land Development Agreement to be completed by Developers to detail matters (e.g. works, plans, financial contributions) that they are responsible for.  Once the terms of the Agreement have been fulfilled, Busselton Water will issue clearance relevant to the WAPC conditions.

 		   
Change of Address or Name
Please keep us informed of any change of address or name by completing this form.    
Guidelines For Charitable Exemptions
This policy has been developed in order to reduce the financial impact for charitable organisations    
Application for Ex Gratia Allowance
   
Exemption - New Lawn and/or Garden
Apply for an exemption to the watering roster or winter sprinkler ban to establish a new lawn and/or garden.    
Concession Application and Information
Concession application for pensioner, commonwealth seniors and state seniors.    
Payment Arrangement Application
Having difficulties paying your water account?  You can apply to pay in instalments.    
Community Support
Application to apply for support from Busselton Water.    
Application to Raise, Lower, Disconnect or Relocate a Metered Service
   
Residential Water Service Connection Application
   
Multi-Residential/Non Residential & Fire Service water service connection application
   

  
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