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New Domestic Water Connection Form Mobile App

The New Domestic Water Connection Form mobile app provides a water connection form recording the following: Owner Details, Property Details, Service Details, Declarations and Plumber Information. This app allows plumbers and meter readers to set up service with customers using a smartphone or tablet to complete the New Domestic Water Connection Form. GoCanvas allows you to name submissions by work order number.

  • Lendlease
  • The Cooperative
  • PG&E
  • oxy
  • Red Bull
  • Mirvac

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Take a peek inside the New Domestic Water Connection Form Mobile App

Included Features

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Included Fields

Customize to add, remove, or edit any of the fields below.

  • Ico textbox

    Owners Surname/s:

  • Ico textbox

    Owners Full Given Names:

  • Ico textbox

    Postal Address:

  • Ico textbox

    Phone (BH):

  • Ico textbox

    (AH):

  • Ico textbox

    Mobile:

  • Ico textbox

    Lot:

  • Ico textbox

    Section:

  • Ico textbox

    Deposited Plan:

  • Ico textbox

    Street Number:

  • Ico textbox

    Street Name:

  • Ico textbox

    Town:

  • Ico textbox

    Shire:

  • Ico textbox

    Area:

  • Ico textbox

    County:

  • Ico textbox

    Parish:

  • Ico multiline

    Purpose for which water is required:

  • Ico statictext

    Owner (must be completed by the current owner)

  • Ico statictext

    I, being the owner of the above premises, hereby authorise the carrying out of the works applied ...

  • Ico statictext

    I enclose a copy of the current Council Rate Notice for the above property

  • Ico textbox

    Name:

  • Ico signature

    Signature:

  • Ico date

    Date:

  • Ico statictext

    I hereby accept responsibility for the whole of the service to be connected and for it being in a...

  • Ico textbox

    Name:

  • Ico signature

    Signature:

  • Ico date

    Date:

  • Ico textbox

    Phone No:

  • ...and More!

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