Service Works Request Form
Please complete the details in the table below for Energy Australia to process your work request. We strongly encourage you have this application completed by your electrician.
Please note: NSW: Site Address Lot & DP number are a Mandatory Requirement for New Connections in the Endeavour Energy and Essential Energy Distribution zones. All States: Abolishment requests are only required to complete sections in Green.
Work Request Type New Please Circle/Highlight Alteration Abolishment Connection Customer Details
Customer Name
Best Contact Number
Mobile Preferred
Postal Address
Customer e-mail
Premises Details Street Address Include Lot Number, & DP number if known
Access Instructions
If applicable
Suburb & Post Code
Premises Type
(Residential/Commercial/Other)
NMI MANDATORY for Ausgrid New Connections. Connection Details Connection Type Supply Phase
(Temporary/Permanent) (1,2,3 or Other) Maximum Maximum Demand of Demand of total installation Site (Amps p/Phase) (Amps p/Phase)
CT’s Solar/Embedde Installed/Required? d Generation? (Yes/No) (Yes/No) Installation Type Off-Peak Load (Overhead, Requirements
Underground, Overhead If applicable. List to Underground) appliances REX ID – SA Only PV SEG – (MANDATORY for SA SA SOLAR Only Supply Alterations) (PV Seg. number) Existing Supply Details Description of Works Is this request in conjunction with other works? If Abolishment, please include date property is vacant from.
Meter ID
New Meter Phase
If applicable New Supply Phase
If applicable Electrical Contractor Details / Solar Installer Details
ID/License Number
Electrical Contractor Name
Best Contact Number
Mobile Preferred
E-mail address
- NSW Supply Alterations & New Connections Only -
L2 ASP Name
Best Contact Number
Mobile Preferred L2 ASP License VectorAMS Accredited
Number Yes / No
Please send your completed form to us via: Email: ncpaperwork@energyaustralia.com.au (Non-Solar) Email: [email protected] (Solar Requests) Post: EnergyAustralia Electricity New Connections, Locked Bag 14060, Melbourne City MC, VIC 8001, Australia Fax: 1800 654 295 If you have any questions, or need help with your application, please call us on 1800 818 378 and we’ll be happy to help.