Request to Reprint Notices

Unique ID

This form is to be used for requesting the reprinting of rates or water notices, or transaction history listings for rates or water.

Privacy: Information collected with this form will be used in compliance with Council's Privacy policy.

Requester Details

Name(Required)

First Last

Phone(Required)

Email(Required)

Owner Details

Please provide contact details for one of the property owners.

Same as Requester

Yes

Name(Required)

First Last

Phone(Required)

Email(Required)

Property Details

Instructions: Type into the address or assessment number fields, then select the required property from list. This will fill in the "Selected Address" and "Assessment Number" fields below the selection.

Reference(Required)

Match All Match Any

Summary

Assessment Number

Address

Suburb

Identity Verification

Identity verification needs to match a registered owner, or someone with a completed authorisation to act on behalf of the ratepayer.
Once they are verified, identification documents will be removed on the 1st of the following month.

ID sited by

Id document upload(Required)

Upload photo ID for the requester and if this is not an owner, also upload photo ID for an owner.

Payment

Notice Reprint, per quarter

Price:

History Transaction Listing

Price:

Quantity - Notices

Updates based on the "Quarters Required" selection.

Quantity - History Listings

Updates based on the "History Listings" selection.

Total

Credit Card(Required)

Card Details

Cardholder Name

Use an alternate payment method

Yes

No

Option available to staff only to record alternate payment details.

This field is hidden when viewing the form

Receipt Code - Reprint

This field is hidden when viewing the form

Receipt Code - Transaction Listing

This field is hidden when viewing the form

Receipt Code

Alternate Payment Details

Alternate Payment Method(Required)

Receipt Number(Required)

Payment Amount(Required)

Requester Details

Owner Details

Property Details

Request

Rates:

Water:

Identity Verification

Payment

Alternate Payment Details