Annual Usage Return

Please only use this form if your licence starts with 10, 20 or 30. If you have a licence starting with 40, 50, 57, 60, 70, 80, 85 or 90 please use the relevant Recording and Reporting Form.

Please note if you have applied to make your extraction site inactive you will be billed 1-part tariff and should not complete this form.

Customer Details

Licence holder name *
Phone number *
Email address *
Property name
Access licence number * Your licence starts with 10, 20 or 30
Work approval number * Your licence starts with 10, 20 or 30
Water type *

Meter options *

Meter Installed

Meter 1

Meter manufacturer *
Size (mm)
Date meter installed *
Start reading (1 July 2023)
End reading (30 June 2024)
Total usage in ML * If no water has been extracted, please supply zero usage (0ML)

Meter 2

Meter manufacturer
Size (mm)
Date meter installed
Start reading (1 July 2023)
End reading (30 June 2024)
Total usage in ML If no water has been extracted, please supply zero usage (0ML)

Additional Information

Form completed by
Notes

WaterNSW acknowledges the traditional custodians of the lands and waters on which we work and pay our respects to all elders past, present and emerging. Learn more

Crop type e.g. Grape
Area size e.g. hectares
Application type e.g. pivot/drip
Total usage in ML for 2023/2024* If no water has been extracted, please supply zero usage (0ML)