45 Princes Highway, Werribee, Victoria 3030, Australia
PO Box 197, Werribee, Victoria 3030, Australia
(03) 9742 0777
(03) 9742 0817
mail@wyndham.vic.gov.au
ABN: 38 393 903 860
www.wyndham.vic.gov.au
Type of swimming pool or spa: (tick box of required information)
Permanent spa
Permanent swimming pool
Relocatable swimming pool
Relocatable spa
For permanent swimming pools and permanent spas, the approximate date that the
swimming pool or spa was constructed
[please provide copies of any relevant building permit if available and/or any other information or
documentation that provides evidence of when the swimming pool or spa was constructed]
For relocatable swimming pools and relocatable spas, the date that the relocatable
swimming pool or relocatable spa was erected
Has any other building work resulted in changes to the barrier since the swimming pool
or spa was constructed or erected?
[if yes, please provide details and copies of any relevant building permit or other documentation]
Fee Payable (gst not applicable) $79.00
Send to: mail@wyndham.vic.gov.au
Privacy Notification:
The personal information requested on this form is being collected by Council in accordance with the Building Act
1993. Your information will be stored in Council’s Customer Database and used to identify you when communicating
with Council and for the delivery of services and information. For further information on how your personal
information is handled, visit Council’s Privacy Policy at https://www.wyndham.vic.gov.au/privacy-policy
OFFICE USE ONLY
Receipt No
Officer Supplying Information
Please allow up to 4 weeks to receive confirmation that your Swimming Pool or Spa has successfully been added to our register.
