Plumbing service application form

To sign up for your free plumbing service simply submit your registration by 1 May 2021.

All fields are required unless marked as optional

Your details

Are you the property owner or a tenant? * Owner Tenant

Do you have the owner/managing agent permission to proceed? * Yes No

First name *

Last name *

Phone number *

Email address *

How did you hear about the program? *

Account number *

Property address *

Town *

Postcode *

Please advise the quantities of each of the following fixtures and fittings:

Outside taps *

Outside taps with a visible leak *

Inside taps *

Inside taps with a visible leak *

Showers *

Showers with a visible leak *

Dual flush toilets *

Dual flush toilets with a visible leak *

Single flush toilets *

Does this property have evaporative airconditioning? * Yes No