Form 73 + 79 - Renew, Amend, Surrender - Take and use water and operate works licence

Form 73 + 79 - Take and use water and operate works licensing - Renew, Amend, Surrender

Renewing, amending or surrendering a licence to take and use water.

Form suitable for use for Surface Water or Ground Water Properties.

Please read this information in detail prior to completing this form (opens in a new window)

Please note that if more than 6 signatures are required per group (e.g. Owners, Licensees, Sellers, Buyers, Transferees) please contact GMW to request an offline form.

Applicant details

Please note that all communication related to this form will be directed to the Applicant or Lodging Party.

The Applicant is the person who is submitting the application to GMW, they are the main contact for that form submission and are responsible for the information being submitted and the coordination of e-signatures and payment of the application fee.

The Applicant may be a lodging party/ solicitor/ conveyancer/ water broker but can also be a new or existing customer submitting their own application form as  the seller/buyer or licensee.

If the property transferring includes a general place of take and/or extraction share, this will be included on the application form

Every application requires an “applicant”.

This email address will receive all automated correspondence in relation to this form submission.
Postal address
Application details
Application Type This is a required field.
Application Type This is a required field.
Licence Type This is a required field.
Licence Type This is a required field.
Details of current licence
Current use of water
Current Use of Water This is a required field.
Current Use of Water This is a required field.
Details of the land(s) on the existing licence
Property address

Please list the Volume / Folio / Lot No / Plan No

Licencee(s)
Licencee 1
Applicant is Licensee 1 This is a required field.
Applicant is Licensee 1 This is a required field.
Type This is a required field.
Type This is a required field.
Company details

Please see notes above on applying as a company.

Contact details
Postal address
Licencee 2
Type This is a required field.
Type This is a required field.
Company details

Please see notes above on applying as a company.

Company Extract This is a required field.
Company Extract This is a required field.
Contact details
Postal address is the same as Licencee 1? This is a required field.
Postal address is the same as Licencee 1? This is a required field.
Postal address
Licencee 3
Type This is a required field.
Type This is a required field.
Company details

Please see notes above on applying as a company.

Company Extract This is a required field.
Company Extract This is a required field.
Contact details
Postal address is the same as Licencee 2? This is a required field.
Postal address is the same as Licencee 2? This is a required field.
Postal address
Licencee 4
Type This is a required field.
Type This is a required field.
Company details

Please see notes above on applying as a company.

Company Extract This is a required field.
Company Extract This is a required field.
Contact details
Postal address is the same as Licencee 3? This is a required field.
Postal address is the same as Licencee 3? This is a required field.
Postal address
Licencee 5
Type This is a required field.
Type This is a required field.
Company details

Please see notes above on applying as a company.

Company Extract This is a required field.
Company Extract This is a required field.
Contact details
Postal address is the same as Licencee 4? This is a required field.
Postal address is the same as Licencee 4? This is a required field.
Postal address
Licencee 6
Type This is a required field.
Type This is a required field.
Company details

Please see notes above on applying as a company.

Company Extract This is a required field.
Company Extract This is a required field.
Contact details
Postal address is the same as Licencee 5? This is a required field.
Postal address is the same as Licencee 5? This is a required field.
Postal address
Details of amendment
Remove Land Parcels from Groundwater Licence This is a required field.

Do you wish to remove any land parcels from the Groundwater Licence?

Remove Land Parcels from Groundwater Licence This is a required field.
Add Land Parcels from Groundwater Licence This is a required field.

Do you wish to add any land parcels to the Groundwater Licence?

Add Land Parcels from Groundwater Licence This is a required field.
Details of surrender
Ownership of the land(s) to be added or where the retained works are located
Land Ownership This is a required field.
Land Ownership This is a required field.
Details of works to be decommissioned

Note: Once the works have been decommissioned and the notification has been received GMW will then surrender your licence. Any changes to your annual account will be completed at this time.

Works to be Decommissioned This is a required field.
Works to be Decommissioned This is a required field.
Licenced Driller details

Decommissioning must be carried out by a licenced driller.

Details of the land(s) where the works are located

Please list the Volume / Folio / Lot No / Plan No / Crown Allotment / Section / Parish

Signatures
  • When you submit this form, invitation emails will be sent to all signatories requesting that they review and sign your submission
  • You will be notified each time a signature has been submitted
  • You will receive a request for payment (if applicable) when the final signature has been submitted

If you are signing this form and not representing a company, please enter N/A in Position.

Licencee 1 Sign Here
Sign Here
Payment
Save draft

Please ensure that the information provided in this form is correct as it cannot be modified after it is submitted.

If needed, you are able to save a draft and come back to the form via a link that will be emailed to you.

Submit

Protecting your privacy

Goulburn-Murray Water (GMW) protects your privacy by collecting and handling your personal information in accordance with the requirements of the Privacy & Data Protection Act 2014. Your personal information is collected on this form and will be used for the purpose of administering this application, updating our records and updating the Victorian Water Register (if applicable). Information collected is usually disclosed to staff involved in processing your application, contractors, connection staff, other relevant GMW staff and government departments. Failure to provide the information sought may result in processing delays or non acceptance of your application. It may also limit our ability to be able to provide various programs or services. You may gain access to and correct your personal information. For further information please refer to our Privacy Policy at www.g-mwater.com.au or call 1800 013 357 to obtain a copy of this policy.