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Get Sydney Water Choke Claim Form 2011-2024

Sewer choke claim form Sydney Water job number Property details House/Lot number Street Suburb Claimant s details The claimant is the person who seeks reimbursement from Sydney Water Name Phone number Address Email Plumber s details Required when the plumber is not the claimant License number Details of work 1. Did Sydney Water take over the job Yes Date // 2. Has the account been paid by the owner of the property 3. Total amount claimed No 4. Excavation size L B Dm / NA I declare the above details to be correct Claimant name Customer name Claimant signature Customer signature Date Phone No Customer is either the property owner tenant real estate agent or strata manager for the property Sydney Water will conduct random audits to verify claim details including contact with the customer The original tax invoice must be attached to this form and sent to PO Box 399 PARRAMATTA NSW 2124 Ph 02 9644 0221 Please allow up to eight 8 weeks to process the claim* Email chokeclaims sydneywater. com*au Errors and omissions will result in the claim being returned for correction* All choke claim forms must include timesheets see below. Submitting false information on this form will result in the matter being referred to the relevant external authorities. Ref* Aug 2011 Please complete all sections of the timesheet below to assist with our assessment and to reduce processing time Travel time hrs Start time Finish time Breaks hrs Total hours Work done. Did Sydney Water take over the job Yes Date // 2. Has the account been paid by the owner of the property 3. Total amount claimed No 4. Excavation size L B Dm / NA I declare the above details to be correct Claimant name Customer name Claimant signature Customer signature Date Phone No Customer is either the property owner tenant real estate agent or strata manager for the property Sydney Water will conduct random audits to verify claim details including contact with the customer The original tax invoice must be attached to this form and sent to PO Box 399 PARRAMATTA NSW 2124 Ph 02 9644 0221 Please allow up to eight 8 weeks to process the claim* Email chokeclaims sydneywater. Total amount claimed No 4. Excavation size L B Dm / NA I declare the above details to be correct Claimant name Customer name Claimant signature Customer signature Date Phone No Customer is either the property owner tenant real estate agent or strata manager for the property Sydney Water will conduct random audits to verify claim details including contact with the customer The original tax invoice must be attached to this form and sent to PO Box 399 PARRAMATTA NSW 2124 Ph 02 9644 0221 Please allow up to eight 8 weeks to process the claim* Email chokeclaims sydneywater. com*au Errors and omissions will result in the claim being returned for correction* All choke claim forms must include timesheets see below. com*au Errors and omissions will result in the claim being returned for correction* All choke claim forms must include timesheets see below. Submitting false information on this form will result in the matter being referred to the relevant external authorities. .

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