Guaranteed Service Level payment register

• This form is to investigate eligibility for payment for power outages exceeding 12 hours in duration. There are some exclusions to eligibility. 
• The information you provide below helps us investigate your eligibility and in submitting the form you agree that the information you provide is true and correct.
• All submissions must be investigated and completion of this form does not guarantee a payment.
• You may complete this form at any time after a power outage for assessment however regulations allow up to three months to make payments after the outage. We appreciate your patience in not calling before the three-month period has expired.
• If three months has already expired, we will prioritise our investigation and response to your submission. The online form is the easiest method to request an investigation and the more information you can provide, the easier it will be to assess your eligibility.
• This form can be used to investigate eligibility for a payment or for an additional payment if you believe the amount you have received already is incorrect.
• Field names denoted with an * are required fields

Inconvenience payment investigation

Your details

Name *

Name on electricity bill *

Mobile number *

Email *

Postal Address *

NMI (National Metering Identifier†) *

†Your NMI number can be found on your electricity bill

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Address details

Street Number

Street *

Suburb *

Postcode *

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Interruption details

Date power went off (dd/mm/yyyy) *

Time power went off (hh:mm) *

Date power came back on (dd/mm/yyyy) *

Time power came back on (hh:mm) *

Did the power come back on at any time between the start and finish times above? *

Yes

No

If so, please advise

If you reported the fault at your property at the time of the power outage, please provide your reference number

Additional Information

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Verification *

Please complete the CAPTCHA verification to proceed.

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