Application for Utilities Concession

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* Required fields

Account details

If you do not know your account number, please leave the field empty.

Electricity account number

Gas account number

Applicant details

Please enter your name AS IT APPEARS ON THE CARD to ensure your eligibility.

Given name *

Middle Initial (ONLY if it appears on your card)

Surname *

Date of birth * dd/mmm/yyyy
(Example 17/Apr/1994)

Card details

Note: Commonwealth Seniors Health Care Cards are not an eligible card under the scheme.

Card type * Pension
Health care card
ACT Access Card

CRN Number *

Authorisation

* I/We authorise ActewAGL to make any enquiries necessary to confirm eligibility for the rebate.

(Information provided by Centrelink and /or Veterans' Affairs is limited to a confirmation of you being a pensioner with fringe benefit eligibility and other details which need to be confirmed. The departments will under no circumstances release any other information to ActewAGL).

Your privacy is important to us and we are committed to handling your personal information in accordance with the Privacy Act 1988 (Cth). Our Privacy Policy sets out how we collect, hold, use and disclose your personal information. Read ActewAGL's privacy policy in full here.