IES Network Connection Form

Applicant Details
Applicant Type:: ResidentialBusiness
This is the type of premises where the system will be installed
Number of applicants:: Please include all names that appear on your electricity account
Title:
Name:: First Name:
Last Name:
Customer phone:: Enter a 10 digit phone number, including area code, without spaces
Customer email address:: The applicants email address will be used to provide communication about the application process and status updates
Preferred contact method:: EmailPhone
Ergon Energy will correspond with you by email with regard to your IES application and connection. If approved, network agreements will be mailed to you for signing
Premises Details
Premises Address:: Address where the IES will be located; please refer to the premises address on your electricity bill
Suburb/Town:
State:
Postcode:
Is your postal address different to the address above?:
Postal Address:
Postal Suburb/Town:
Postal State:
Postal Post Code:
Is your premises a retirement village, gated community or similar?:: YesNo
Who is your electricity Retailer for this application?:
Account Number:
National Metering Identifier (NMI):: This is an 11 digit number found on your electricity account
Registered plan number:: Refer to your rates notice
Lot Number:: Refer to your rates notice
Spam Verification