Electricity Supply Connection

Residential Electricity Supply Connection Form

To successfully provide you with our service, we need to ask you for some personal details to complete your application. This information will only be provided to other parties who provide services on Watts Energy’s behalf. You can access any of your personal information by contacting a customer service representative.

You should also read the Terms and Conditions prior to completing the online application.

Unit No.

Address where Electricity is to be Connected

Electricity Supply Commencement Date

Are you the Owner or Tenant of the premise?

Owner Tenant

Real Estate Agent Name & Phone No. (if Tenant)

Title

First Name

Last Name

Date of Birth

Daytime Phone Number

Mobile Number

Email Address

Identification Type

Identification Number

Pension type

Pension Number

Co-tenant's Full Name (if applicable)

Co-tenant's Date of Birth

Co-tenant's Contact Number

Co-Tenant's Email Address

Co-Tenant's Identification Type

Co-Tenant's Identification Number

Co-Tenant's Pension type

Co-Tenant's Pension Number

Do you and/or co-tenant require electricity for life support?

Yes No

If yes, please provide details

Business Name & ABN

Business Contact Name and Phone No.

Postal Address

Credit/Payment References - You must provide 2 references with their Company Details, Phone No, Contact Name & your Monthly Account Cost

Declaration
1. I/We apply to have the electricity connected to our premise and agree to abide by the Terms and Conditions provided.
2. I/We acknowledge that Watts Energy acts as an agent for the Body Corporate and/or owner.
3. I/We acknowledge that a security deposit is required to be paid if 2 credit references are not provided and will be refunded when we vacate.
4. I/We acknowledge that our personal information will only be provided to other parties where necessary to provide the services on behalf of Watts Energy.
5. I/We provide authorisation for Watts Energy to complete a credit check of our payment history.

I/We have read and understand the declaration and Terms and Conditions

Accept

Watts Energy

We are a privately owned Queensland based company, established in 2004 and have over 30 years combined experience. Watts Energy is able to provide our clients with extensive knowledge of the QLD electricity on-selling market including QLD electricity tariffs, tender services, meter reading services and site audits, just to name a few.

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