Complete this form if you would like to change your account name or update your contact information as an account holder or authorised person for this property. Fields marked with * are required fields. This form is not printable.
If you are updating your name you are required to provide one of the following documents along with this form. You can upload these documents as images or PDF: • Updated Drivers Licence or Medicare Card • Births, Deaths & Marriages – Change of Name Certificate, Marriage Certificate, Birth Certificate
If you are changing your name please use the name currently on the account.
Please Note: Do not enter spaces between digits.
Coliban Water respects your privacy and will only collect and use personal information for legitimate purposes. Drivers Licence, Medicare Card or Passport ID numbers are used to identify individuals within our databases to ensure accounts are issued to the correct individual. Coliban Water is bound by and committed to the Victorian Information Privacy Act.
Enter your email to receive a confirmation notification after completing this form.
Please Note: Only enter numerals- Do not enter hyphens in between.