Water Carter Notification Form

Details to be changed/updated

If you clicked 'other', please explain

Change of Occupier

New occupier residential address

New occupier ABN/CAN

What date did the change of occupier occur?

Proprieter Details

Full Name*

Trading name of business*

Proprietor name (if applicable)

ABN*

Date of commencement of trading*

Postal Address

Is the business postal address the same as the site address above?*

Yes

Vehicle Details

Make*

Model*

Registration*

Type of Tank*

Driver details

Full name on license*

Address on license*

Contact number*

Privacy Statement

Personal information supplied to or collected by Tamworth Regional Council will only be stored and processed by Council for lawful purposes directly related to the functions and activities of Council. Any personal information supplied will only be disclosed to a third party for the purpose of performing a lawful function or activity and for no other purpose. Disclosure of personal information to a third party will be in accordance with Tamworth Regional Council's Privacy Management Plan (PDF 331.7KB).

Mandatory field(s) marked with *