ASSET REQUEST

Date:

PROPERTY DETAILS

Site Address:

Lot Number(s):

ASSET INFORMATION

Westernport Water will supply details of the sewer size, depth & offset (SDO) as well as a Sewer & Water Asset Plan. This information is provided as a map in PDF format.

Please provide a reason for your request and any further information required:

APPLICANT DETAILS

Contact Person:

Business Name:

Phone:

PREFER METHOD OF RESPONSE DETAILS

Post:

Email:

Fax:

Privacy Statement Westernport Water is collecting the information requested on this form for the purposes of providing goods and services to you and improving those goods and services. Without all or part of this information the goods and services may not be provided to you. This information will be handled in accordance with our legal obligations. You may request access to your personal information. The information may be disclosed to third parties in relation to the provision of goods and services, including Westernport Water’s contactors assisting in the provision of these goods and services, Melbourne Water, and the Minister for the Environment Protection Authority (EPA). For a copy of Westernport Water’s privacy charter which describes in more detail how personal information may be used, or how to access your personal information, please visit www.westernportwater.com.au/privacy or contact 1300 720 711. a: 2 Boys Home Rd Newhaven, Vic. 3925 p: 1300 720 711 f: 03 5956 4101 e: westport@westernportwater.com.au