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1. Your details
Your relationship to the property
*
Owner
Authorised tenant
Authorised agent
Customer type
*
Commercial
Domestic
Type of leak
*
Leak Allowance
Unintentional Water Loss
First Name
*
*
Last Name
*
*
Email
*
*
*
Please enter a valid email address
Contact Number
*
*
Please enter a valid NZ Contact Number
Company (if applicable)
*
Property owner's name (if different from above)
*
2. Property Details
Property Address
*
*
Watercare Account number
*
*
Enter a valid Account No, in the format 1234567-12. This can be found on your invoice.
Meter number affected by the leak
*
*
Enter a valid Meter ID, ie A12B345678. This can be found on the back of your invoice.
Number of residents at the property at the time of the water loss?
*
*
*
3. Water loss details
Who was the leak repaired by
*
Watercare
Other
Other - please provide more information
*
Date water loss started (if known)
*
Date of repair or date water loss stopped
*
*
Please provide details of water loss including the location
*
4. Meter Reading
Current meter reading
*
*
Date the reading was taken
*
*
Have you been granted a leak allowance in the past two years
*
Have you been granted a leak allowance in the past two years
No
Have you been granted a leak allowance in the past two years
Yes
5. Terms and conditions
6. Declaration
Declaration
*
7. Attachments
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