Application for power connection in Jabiru

Jabiru connections and disconnections are actioned on Wednesdays only. Power and Water must receive these applications by 12 noon Tuesday to be actioned on the Wednesday.

Connection address

Lot number

Unit number

Street number *

Street name *

Suburb *

Postcode *

Connection start date * Jabiru connections and disconnections are actioned on Wednesdays only. Connection and disconnection requests must be received by Tuesday 12pm to be actioned on Wednesday.

Your details

Customer ID

Given name *

Family name *

Date of birth *

Mobile number *

Email *

Please provide one form of photo ID *

Drivers Licence
Proof of Age Card
Passport
Other - please specify type of photo ID below

If other is chosen, please specify type of photo ID

Identification number *

Territory or state issuer of identification *

Expiry date *

Northern Territory (NT) Concession Scheme card number For members of the NT Concession Scheme. Learn more about the NT Concession Scheme .

Additional authority

Would you like to add an additional authority on to the account? *

Additional authority personal info

Level of authority *

Make changes to the account- They can view and make changes to the account, but aren't responsible for debt.
Responsible for debt - They can view and make changes to the account and pay bills, and are responsible for debt.

Given name *

Family name *

Date of birth *

Mobile number *

Email *

Please provide one form of photo ID *

Drivers Licence
Proof of Age card
Passport
Other - please specify type of photo ID below

If other is chosen, please specify type of photo ID

Identification number *

Issuer of identification * For example, the State or Territory where your identification was issued

Expiry date *

Tell us about access to the property

Are you aware of any access issues (locked gates/pets)? * Locked gates or dogs will prevent us from completing your connection request. Ensure that you have no access issues to your property.

Are you or anyone in your household currently self-isolating as a precaution for COVID-19?

Life support customers

Is there a life support patient registered with our Life Support Customer Register at this property? * If you or someone at your home uses life support equipment, it's important that you let us or your electricity retailer know and keep us up to date with your situation.
Learn more about our Life Support Customer Register

Do you operate life support equipment at this address? *

Yes - provide details of the equipment used below
No

Details of the Life Support equipment used Provide details about the equipment used at this property. For example, a registered medical practitioner certifies that oxygen concentrators, intermittent peritoneal dialysis machines, kidney dialysis machines, chronic positive airways pressure respirators, crigler najjar syndrome phototherapy equipment, ventilators for life support, and any other necessary equipment are required for life support.

Please confirm the following

I/We understand that in accordance with the Privacy Act 1988 *

Unpaid debts more than 60 days overdue maybe referred to a credit reporting agency and then become available to all credit providers. Unpaid Power and Water Corporation accounts can affect your credit rating.

I/We accept that *

I understand that connection fees apply . An additional after-hours fee may also be charged for connections outside of business hours, including weekends and public holidays.

I/We acknowledge that *

Tariffs, charges and concessions are subject to change as set by the Utilities Commission Northern Territory .

I/We give consent to Power and Water Corporation *

To use and disclose my personal information in accordance with the Power and Water Privacy Policy, available at www.powerwater.com.au/privacy

I/We acknowledge that *

This connection request must be received at Power and Water by Tuesday 12pm to be actioned on Wednesday

I/We acknowledge that *

the life support customer information I have provided is true and correct

I/We accept that *

If any electrical works have been undertaken on a premises a Certificate of Compliance (CoC) must be supplied to Power and Water before power will be connected.

Upload Certificate of Compliance (CoC) - if required A CoC confirms the electrical work completed meets all the necessary regulatory requirements and is safe to connect to the electricity network.

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Application for power connection in Jabiru

Connection address

Your details