Two Week Payment Extension Request Form

Two Week Payment Extension Request Form


This form can be completed to request a two week extension for payment in full on your water account.

You must be an account holder or authorised person to request an extension.


If you require a longer extension or want to discuss other payment options please contact our Customer Support team on 1300 363 200.

Note: If you have an active direct debit in place and need an extension, please complete the online direct debit form.

Fields marked with * are required fields.

This form is not printable.