Redirection Authorisation
Authority to Redirect Rates and Water Accounts
Property Owner/s & Details
*
First Name
Last Name
Property Owner/s & Details
First Name
Last Name
Email
*
example@example.com
Property Address
*
Street Address
Street Address Line 2
City
State
Postcode
LOT
*
DP
*
Assessment Number
*
*
Rates
Water
Rates and Water
Please forward accounts until further notice to the following:
Real Estate Name
*
Real Estate Postal Address
*
Street Address
Street Address Line 2
City
State
Postcode
Phone Number
Please enter a valid phone number.
Format: 0000 000 000.
Email
*
example@example.com
Receive Notices by
*
Email
Mail
Owner Signature
*
Owner Signature
Date
*
-
Day
-
Month
Year
Date
Submit
Should be Empty: