Billing frequency change request online application

Enter your account or notice number

New billing frequency:

Annual - once a yearBiannual - once every 6 monthsQuarterly - once every 3 months

Reason for the change of frequency:

PreferenceSeasonal nature of businessFinancial difficultyOther, specify below

Specify other reason for change of frequency

Do you have an outstanding debt with Crown Lands?

YesNo

Your application cannot be processed

Your application cannot be processed until the outstanding debt is paid.

Please contact us on 1300 886 235 (Select option 2/ option 1/ option 2) to discuss payment options.

Are you acting on behalf of the applicant?

YesNo

Authorised representative details

As the authorised agent are you acting as an individual or an employee of a company?

I am an employee of a company acting on behalf of the applicant.I am an Individual acting on behalf of the applicant.

Your full name

Relationship to the applicant

For example lawyer or a type of relative i.e son.

Company name

Your preferred contact method

Your email address

Your phone number

Your postal address

All correspondence to be sent to

You onlyApplicant onlyBoth you and the applicant

Upload evidence you have authority to act on behalf of the account holder

Applicant contact details

Business/Association name

ABN/ACN

Contact persons full name

Preferred contact method

Email address

Phone number

Postal address

To receive an email copy of your application enter your email address here or alternatively you can either print or save a copy on the next page.

Before you apply