Water Meter Accuracy Test Form

Request for Water Meter Accuracy Test

Your request will be processed by Goulburn Valley Water as a matter of urgency, however, times taken by the independenty tester may vary.

Please refer to our Tariff Schedule for relevant fees and charges.

How many water meters do you require tested?*

Property Details

Street Number*

Street Name*

Suburb*

Owner Details*

Water Meter Number*

Property Details - 2

Street Number*

Street Name*

Suburb*

Owner Details*

Water Meter Number*

Property Details - 3

Street Number*

Street Name*

Suburb*

Owner Details*

Water Meter Number*

Property Details - 4

Street Number*

Street Name*

Suburb*

Owner Details*

Water Meter Number*

Property Details - 5

Street Number*

Street Name*

Suburb*

Owner Details*

Water Meter Number*

Declaration

I understand and agree that I am required to pay for the cost of the test, but if the meter is found to be reading higher than industry standards GVW will refund- the cost of the test.*

Yes

Name*

Signature*

[clear]

Use your mouse or finger to draw your signature above

Date/Time*