Regional Plumbing Service application form

Register now to have a licensed plumber carry out a free check of your home - including fixing minor leaks on toilets, taps and showers.

Please note: this Service is not intended for urgent repairs. We appreciate your patience while your appointment time is scheduled.

All fields are required unless marked as optional

Your details

Are you the property owner or a tenant? Owner Tenant

Tenants must have permission from property owners or owners’ agents (real estate agents) to undertake this service.

Do you have the owner / managing agent permission to proceed? Yes No

Tenants must have permission from property owners / owners' agents (real estate agents) to undertake this service.

First name

Last name

Phone number

Email address

How did you hear about the program?

Account number

Property address

Suburb

Please advise the number / quantities of each of the following fixtures and fittings:

Outside taps

Outside taps with a visible leak

Inside taps

Inside taps with a visible leak

Showers

Showers with a visible leak

Dual flush toilets

Dual flush toilets with a visible leak

Single flush toilets

Does this property have evaporative airconditioning? Yes No

Please ensure that you have read and understood the terms and conditions of this offer before submitting your application.

I have read and accepted the terms and conditions for the use of the Plumbing Service

I confirm that I have not previously claimed a Plumbing Service at this property

I confirm I'm the property owner, or have received the property owners' / managing agent permission to undertake a Plumbing Service at this property