Payment arrangement form

We recognise the significant financial stress on many households and businesses and we're here to help.

Approved payment arrangement requests will receive either an email or text confirmation within 3 business days.

Note: If you have more than one account, you will need to submit individual forms for each account.

You can also get in touch with us to discuss your circumstances via Webchat, Facebook or Twitter; or by phoning our General Enquiries line on 13 26 57 (8am – 5pm weekdays).

Do you require a payment arrangement for a residential or business property?

*Customer Reference Number

Enter your 15 digit customer reference number (with no spaces) as shown in the top right corner of your bill.

*Account holders name

Please provide the name(s) of the registered property owner(s) or authorised representative(s) as shown on your Water and Sewerage bill.

*Street Address

Enter the property location as shown on your bill.

*Suburb

Enter the suburb where your property is located

State

*Postcode

*Your Name

Enter your first and last name

How you would like us to send you confirmation of your new payment date?

As this arrangement is only for the current balance, are you able to pay future bills in full? (optional)

When would you like your payments to occur?

*How much would you like to pay?

*Commencement date

Format: Dec 31, 2024

By submitting this application, you declare that you are the named Account Holder of the Urban Utilities Water and Sewerage Account for the property stated above, and you understand that you may be required to provide further information in order for your request to be processed.

If the arrangement requested in this application is approved, interest will not accrue on your account while you are honouring the arrangement.

Please remember it's important that you contact us if you can’t meet these agreed installment payments, so that we can assist with an arrangement that suits your needs.

Privacy and why we collect your information

Your privacy is important to us. For information on how we protect the personal information we collect, access our Privacy Collection Notice and Privacy Policy on our Privacy page. By submitting this form, you confirm you have read and understood the Privacy Collection Notice and Privacy Policy.