Swim lessons at the Selwyn Aquatic Centre
Kids at Picnic in the Park
This form is to be completed if you require a rural rapid number. Residential dwellings, commercial business, workshop, dairy shed or any other regularly occupied building in the rural area need to have a rapid number so that emergency services can easily find you.
* = required field
Request made by *Your name and company name if you are requesting a number on behalf of the owner
Owners Name *If property is owned by a trust please supply the trust name
Phone Number *Cellphone or landline
Road Name of Property *
Vehicle Entrance Location
Legal Description of PropertyIf known - this can be found on your rate demand
Valuation NumberThis can be found on your rate demand
New or Damaged Post*
NotesPlease give us any other information or identifying features of your property also if the post is damaged the extent of the damage
Please fill in the lower-case letters shown below (why am I being asked to do this?)
Before submitting: Please ensure you have answered all questions.