Undetected Leak Application Form

Leak rebate eligiblity criteria

Please read and check each box to ensure you meet the below eligibility criteria before completing your application:

The leak was undetectable (eg. it occurred underground, under a building or concrete/paved area).

You are a GWMWater account holder and do not receive a water supply by a Private Water Service Agreement.

You have not received a rebate for a leak or unexplained usage in the past five years on this account.

The leak has been repaired by a licensed plumber and you can provide a copy of the invoice with this application. If the leak was not repaired by a licensed plumber, you can provide further evidence of the repair (eg. photos, receipts for materials purchased, etc.).

The leak was repaired within two weeks of you becoming aware of it.

This application has been submitted within 90 days of the leak notification or due date of the affected billing period. *

Please note, leak occurrences that are not eligible under the Undetected Leak and Unexplained Usage Policy are:

Leaking toilets
Shower hose
Internal and external water taps
Hot water systems
Hot water solar panels
Evaporative air conditioners
Above ground pipes and fittings

For rural pipeline customers only, leaks that are not eligible are:

Leaks above ground at a stock trough or tank that have happened since last inspection and duration of leak is longer than one month (leaks occurring in the first month will only be considered).

Undetected water leak application form

Please provide all information required so we can process your application as soon as possible. We will be in touch with you within ten business days.

Fields marked * are mandatory

Personal Details

Full name (as it appears on your water account) *

Address (property address) *

Mobile phone (no spaces when entering your phone number)

We may use this number to text you of any important updates relating to services that we provide to you.

Phone (area code required and no spaces when entering your phone number)

Email address *

We may email you inviting you to participate in surveys relating to services that we provide.

Confirm email address *

Account number

Property address of where leak was located *

Water meter number

Details of the leak

Fields marked * are mandatory

Please provide details of where the leak was, when it was found, what action was taken to repair and date of when it was repaired. *

Please attach supporting documentation as evidence that the leak has been repaired

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Supporting documentation includes, but is not limited to:

· Copy of plumbing invoice and/or report.

· Photographic evidence.

· Relevant receipts relating to repairs.

· For unexplained usage, nature of investigations undertaken by the account holder and action taken to ensure it does not occur again.

Your personal details will be used and retained by GWMWater in accordance with our Privacy Policy. (Link https://www.gwmwater.org.au/component/edocman/902-privacy-policy/download)

I acknowledge that I have read and understand the eligibility criteria of this application and all information provided by me is true and correct. *

Signature of applicant *

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Date