Application for the community housing retrofit program - Barwon Water

Application for the community housing retrofit program

Do you need to complete this form?

Please complete this form if you require Barwon Water to consider your application for:

  • Water
  • Sewer

If your application is for one of the following property types:

  • Social housing (long-term housing for individuals and families dependant on federal government funding)
  • Affordable housing (long-term housing for households with a low to moderate income)
  • Crisis / transitional housing (provided to members of the general public who are experiencing homelessness)

If you are the:

  • Asset or property manager who is responsible for the bill
  • Tenant who is responsible for the bill or has approval for repairs from the property owner (Please note: properties leased and fully funded from the government are not eligible for the program)

Is the applicant a tenant or a community housing organisation?
Is the property leased by Department of Families, Fairness and Housing (DFFH), formerly the Department of Health and Human Services (DHHS)?
Who is responsible for the water account?

Applicant details

Customer details

Contact details

Property details
Type of housing *

Acknowledgement

I understand and acknowledge that:

  • I am the account holder
  • The information provided in this application is true and complete to the best of my knowledge
  • Barwon Water may refuse this application if it becomes evident that any information or supporting documents provided is incomplete and false
  • I approve of the information that has been provided in this application
  • I have reviewed and accepted the terms and conditions

Acknowledgement check *

Date *

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