Water and Sewer Connections

1Connection Details > 2Plumber's Details > 3Property Details > 4Works Details > 5Acknowledgement
Note: If you are applying for a NEW water and/or recycled water connection, this form must be submitted via a Coliban Water registered Quick Connect Agent. Applications for new sewer connections or amendments to existing water/recycled water/sewer connections can be submitted direct to Coliban Water.

See Quick Connect Agent contact details here.

Complete this form if you require Coliban Water to consider your application for:

• Sewer connection
• Changes to existing connection
• Fire service
• Un-serviced structure (e.g. shed or carport)
• Alteration to existing services

An application fee of $74.26 will be charged to the owner of the property.

Coliban Water will begin to apply water access charges from the date of the application approval and sewerage access charges 90 days after the approval date for connection. Other fees may be associated with the application, if this applies Coliban Water will contact you.

Fields marked with * are required fields.

This form is not printable.
Please select the best description of your application: *
New Connection Renovation or Alteration Un-serviced structure (e.g. shed or carport)
Select one that best describes you: *
Plumber Builder Owner Quick Connect Agent
I am applying for a: *
Sewer Connection New Fire Service Unserviced Structure - Notification of works Backflow Installation Trade Waste Installation
I am applying for a: *
Water Connection Sewer Connection New Fire Service Backflow Installation Trade Waste Installation
Please Note: A customer contribution fee may apply to an existing lot if it has never been serviced. The Landowner can contact us on 1300 363 200 for more information.
Your Details
Your Name: * First Last
Business Name:
Business Contact Name:
ABN / ACN:
Plumber's Licence Number: *
Contact Number:

Please Note: Do not enter spaces between digits.
Your Email:
Owner Details
Owners Name: *
Owners Postal Address: *
Street Address Address Line 2 Suburb State / Territory Post Code Country
Contact Number: *

Please Note: Do not enter spaces between digits.
Owners Email:

Water and Sewer Connections

Water and Sewer Connections

Your Details

Owner Details