Application for energy (electricity and or gas) supply

Please complete this form to set up an account with us so we can continue to supply you with energy.

Supply address

Start typing below to find your address.

Address

Please use the form below to enter your full address.

Unit number

Street number

Street name

Street type

Suburb

Postcode

Please enter the supply address details.

What type of energy account do you want to set up?

Electricity

Gas

Electricity

NMI

Meter number

Gas

MIRN

Meter number

Move in date

Our records show the usage commencement date is the date you moved into this property. This date is listed in the application form for energy supply we recently sent you (with the letter asking you to set up an energy account with us). If you moved in after this date, please email a copy of your lease or purchase agreement to unknown.consumer@energyaustralia.com.au confirming the date you moved in or took possession of the property.

Is this a Residential address?

Yes

Account details

Please provide your details so we can set up a residential account.

Title

First name

Last name

Date of Birth

Contact details

Phone number

Alternate contact number

Mailing address

Same as Supply Address

New mailing address

Start typing below to find your address.

Address

Please use the form below to enter your full address.

Unit number

Street number

Street name

Street type

Suburb

Postcode

What is your preferred contact method?

For Bills

Post ($1.69 fee per paper bill may apply#)

#Paper bill fee is GST inclusive. There are exemptions to this fee.

All other correspondence

When you select email, you confirm that you understand and agree to receive our Welcome pack, notices and other correspondence by email where we have digital copies available. This may include notices about disconnection and other important information about your account.

Post

ID options

Driver’s license No

Medicare no

Passport no

Driver’s license No

State of issue

Medicare no

Expiry Date

Passport no

Country of issue

Business account details

Please provide your business details so we can set up a business account.

Business name

A.B.N/A.C.N

Business contact person details

Title

Position title

First name

Last name

Business Contact Details

Phone number

Alternate contact number

Mailing address

Same as Supply Address

New mailing address

Start typing below to find your address.

Address

Please use the form below to enter your full address.

Unit number

Street number

Street name

Street type

Suburb

Postcode

What is your preferred contact method?

For Bills

Post ($1.69 fee per paper bill may apply#)

#Paper bill fee is GST inclusive. There are exemptions to this fee.

All other correspondence

Post

Concession type

Card number

We're fully committed to protecting the personal information of our customers. More information can be found in our Privacy Policy - visit https://energyaustralia.com.au/privacy.

Do you authorise:

EnergyAustralia to use Centrelink Confirmation eServices to perform a Centrelink/DVA enquiry of your Centrelink or Department of Veterans’ Affairs customer details and concession card status to enable the business to determine if you qualify for a concession, rebate, or service.
Services Australia to provide the results of that enquiry to EnergyAustralia?

Do you understand that:

Services Australia will disclose personal information to EnergyAustralia including your name, address, payment type, payment status and concession card type and status to confirm your eligibility for concessions, rebates, or other government payments.
this consent, once signed, remains valid while you’re a customer of EnergyAustralia unless you withdraw it by contacting EnergyAustralia or Services Australia. You can get proof of your circumstances or details from Services Australia and provide it to EnergyAustralia so they can determine your eligibility for concessions, rebates or other government payments.
if you withdraw your consent or don’t alternatively provide proof of your circumstances or details, you may not be eligible for the concessions, rebates or other government payments provided by EnergyAustralia.

I authorise and understand the terms and conditions

By ticking this box, you agree

To enter into a Standing Offer Contract with EnergyAustralia under the Standard Retail Contract Terms and Conditions at the published standing offer rates. The terms and conditions include a copy of our Privacy Policy (incorporating our credit information statement), which explains how we use and disclose your personal and credit information, your rights to access any information we hold, and the credit reporting bodies and other parties that we exchange information with. A credit check will be performed before switching you to EnergyAustralia. EnergyAustralia may also verify your ID details with the document issuer or official record holder.

Application for energy (electricity and or gas) supply

Supply address

Account details

Business account details

Concession type

Life support