Application for a new electricity smart meter connection in NSW

Property information

Does the site have more than one occupancy (e.g. town houses, units)? * YesNo

Lot number *

DP number *

Is there currently a temporary supply on site? * YesNo

Building name

Unit number

Unit type

Street number *

Street name *

Street type *

Suburb *

State *

Postcode *

Account holders details (for billing purposes)

Connection requirements

Type of supply * Permanent Connection
A permanent meter in the final stages of construction.
Temporary Connection
A temporary meter located on a builder’s pole for construction purposes.

What metering do you require? * 1 Phase
3 Phase
CT meter
Mix of meters

Average daily load *

Do you require dedicated controlled load? (i.e. hot water heat pump, pool heater, in slab, EV Charger) * Yes
No

Premise type *

Does anyone living at the property require life support equipment? * Yes
No

Service type * Underground
Overhead
Underground from Overhead (UGOH)

Will this property have a solar system installed? * Yes
No

Level 2 Accredited Service Provider (ASP) or electrical contractor

First name*

Surname*

Business name*

Electrician license number *

Contact phone number *

Email *

Additional information

Further details of proposed work or site access (e.g. gate code)

Terms and conditions

*

By submitting this form I (also known as the ‘Applicant’) acknowledge the information provided on this form is correct and I have read and understand the terms and conditions below.

If I am not the owner/occupier of the premises, I confirm that I am authorised to make this application on behalf of the owner/occupier and warrant that I have obtained the owner/occupier’s consent to accept these terms and conditions, including all fees and charges payable by the owner/occupier of the supply address.
The Applicant indemnifies ActewAGL Retail and the Distributor from and against all claims, demands, actions and proceedings brought against ActewAGL Retail and the Distributor arising out of or in any way related to the failure of the Applicant to comply with clause 1 of these terms and conditions.
If the Applicant fails to comply with clause 1 of these terms and conditions, ActewAGL Retail or the Distributor may disconnect the above mentioned connection from the network.

Signatory relationship to the account holder

I am the: *

First name *

Surname *