WaterSmart Home and Garden Rebate Claim Form - Barwon Water

WaterSmart Home and Garden Rebate Claim Form

Applicant information
I have read the Terms and Conditions of the Program * Please ensure all information is provided, including supporting documents, as an incomplete application form will not be processed.

Product information
Please check the list of eligible products and indicate the type of product/s you wish to claim a rebate for (Tick all that apply) *

Payment details
Rebates will be processed via EFT, to receive a rebate please provide your bank account details.

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    Supporting documentation
    Please attach original receipt/s showing a clear description of the product purchased and proof that the product/s have been paid for in full

      Declaration
      I confirm that the details contained in this claim form are current and correct and by submitting a claim I agree to the program Terms and Conditions.
        Date *

        Privacy Statement

        We’re committed to protecting your privacy. We are required to comply with the Privacy and Data Protection Act 2014 and other laws relating to the protection of personal information.

        We collect personal information for the purpose of providing water and sewerage related services and products. The personal information we collect will not be used or disclosed for any other purpose without your consent, unless permitted under privacy legislation. We do not sell, rent, trade or otherwise make available customers’ personal information.

        Information that you provide on the application form will be used by Barwon Water to assess whether the application meets the eligibility criteria for a rebate and will be checked against Barwon Water customer account details for assessment purposes.

        More information about protecting your privacy