Annual Usage Return

Annual Usage Return

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


Your licence starts with 10, 20,30,40,50,57,60 or 70

Your licence starts with 10, 20,30,40,50,57,60 or 70

Meter Installed

Meter 1

Date Meter Installed *

If no water has been extracted, please supply zero usage (0ML)

Meter 2

Date Meter Installed

If no water has been extracted, please supply zero usage (0ML)

No Meter Installed

Please note: You are required to maintain a logbook under your licence conditions which you may be required to produce when requested


e.g. Grape

e.g. hectares

e.g. pivot/drip

If no water has been extracted, please supply zero usage (0ML)

Additional Information

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99.9
Sunday 03 July
3.4
2,614,900 ML
2,618,706 ML
8,668 ML
1,239 ML
89,916 ML
Sunday 03 July