Apply for a payment plan

If you are currently unable to pay your bill in full, please complete this payment plan application. Please note if this is unsuitable, Aqwest will contact you to negotiate a suitable amount.

This form is to be completed by the property owner only. If you are a tenant, please contact Aqwest to discuss your options.

First name(s)*

Last name*

Email address*

Property address*

Postal address

Where we can send your mail to. Write 'as above' if this is the same as the property address

Contact number*

Account number

This can be found on the top right hand corner of your account

Account balance

Balance showing on your latest account. Leave blank if unsure.

Preferred instalment frequency*

Weekly
Fortnightly
Monthly

Date of first instalment*

Please select when you would like to make your first payment

What instalment amount would suit your budget?*

Please note that if this is not suitable, Aqwest will contact you to negotiate a sufficient amount.

Authorisation

By requesting to pay by instalments I agree to abide by the above arrangements and make all payments by their due date. I acknowledge that an interest penalty (calculated daily) applies to all overdue amounts.
I acknowledge that any default in the above arrangement will result in my property being restricted or legal proceedings being commenced without any further notice

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Apply for a payment plan

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