Rural Customers - Drought Relief Water Filling Station Application Form

Download PDF Version HERE (PDF 273KB) or Complete the Online Application form below

Please read Terms & Conditions (DOCX 71.2KB) prior to completing Application

Application Form

Tamworth Regional Council resolved at the Council Meeting 12 March 2019 to provide a limited free bulk water supply for drought affected rural customers. The period of free bulk water supply will be determined by Council.

Are you the owner of this property?* - required
Proof of Residence
Please provide two forms of documentation for identification purposes* - required

Privacy Statement

Any personal information you have supplied to or is collected by Tamworth Regional Council will only be stored and processed by Council for lawful purposes directly related to the functions and activities of Council.  Any personal information supplied will only be disclosed to a third party for the purpose of performing a lawful function or activity and for no other purpose.  Disclosure of personal information to a third party will be in accordance with Tamworth Regional Council's Privacy Management Plan (~~~DocAnnotation.type.56~~~ ~~~DocAnnotation.size.56~~~).

Mandatory field(s) marked with *