Pure Busselton Water


The following 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
   
Application and Agreement to Use a Hydrant Point
Application/agreement form to be completed for use of a hydrant point.    
Installation and Maintenance Report for Backflow Prevention Device
   
Application to Use Fixed Upstand
Application form to be completed for the use of a fixed upstand.    
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
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
   
Installment Application

Having difficulties paying your water account? 
You can apply to pay by instalments

   
Community Engagement Program Guidelines
Guidelines to assist in your application.    
Community Engagement Program Application

Application to apply for Busselton Water's Community
Engagement Program. 
Note applications are assessed annually in April.

   
Application to Raise, Lower, Disconnect or Relocate a Metered Service

Application to Raise, Lower, Disconnect or Relocate a Metered Service

   
Residential Water Application
Application for a Residential Water Service Connection    
Multi-Residential/Non Residential & Fire Service Application
Application for a Water Service connection for
Multi-Residential/Non Residential & Fire Service
   
  
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