Connections and disconnections

For customers wanting to permanently or temporarily connect or disconnect their services

Note: Before completing this form make sure that you have read our moving and building guide to understand what you need to do, in some cases it may be nothing!

Note for Temporary disconnection requests: Please allow five business days from time of notification. Charges apply for all requested services; additional charges may apply for work outside of normal business hours, Monday to Friday, 8am to 4pm. All electrical modifications/alterations and planned electrical repairs must be submitted by means of a Notice of Intention Form.

This form is for:

Remote customers wanting to connect or disconnect water or power

All customers wanting to temporarily disconnect their power services

Business and residential customers

Do not need to use this form if you are an urban customer moving home

Do not use this form if you are located in Alyangula and Nhulunbuy (contact your local council)

Do not use this form if you are located in Jabiru

Before you begin, tell us what you need

Which type of customer are you? *

Which community are you located in? * Please note, some communities are managed by the local council instead. For Alyangula please call 08 8987 4444, for Jabiru please call 08 8979 9444 and for Nhulunbuy please contact 08 8939 2200.

Please tell us what you would like to do: * Please note if you are connecting power there will be a $68.56 establishment fee charged to your account.

We don't service that area, please contact a retailer for that area.

You don't need to disconnect your water/sewer services, the account stays in the title holder(s) name.

You don't need to connect your water/sewer services, the account stays in the title holder(s) name.

Power connections - We don't service that area, please contact a retailer for that area.

Water services - You don't need to disconnect your water/sewer services, the account stays in the title holder(s) name.

Power connections - We don't service that area, please contact a retailer for that area.

Water services - You don't need to connect your water/sewer services, the account stays in the title holder(s) name.

Business information

Business name *

Business phone number *

ABN number *

Upload Business Registration Certificate (connections only) * If this is the first time this business/company has had an account with Power and Water Corporation, you will need to upload a copy of your Business Registration Certificate in order for your connection to be completed.

Contact details

Customer ID (if known) This will be a number between 5 and 9 digits long, usually beginning with 0

First name * This person will be listed as the new account holder

Last name * This person will be listed as the new account holder

Phone number *

Email address *

Date of birth *

Day Month Year

Please provide one form of ID * This is needed to verify you as an NT resident

Identification number * For example, if you selected drivers license above you would insert your drivers license number here

Issuer of identification * For example, if you selected drivers license above you would insert your drivers license number here

Do you wish to authorise anyone else on your account? (optional) Full name of the person you wish to authorise to make account enquiries but is not responsible for any debt.

If any of the applicants a Northern Territory Pensioner and Carer Concession card holder please include the concessions card number here:

Contact details

Customer ID (if known) This will be a number between 5 and 9 digits long, usually beginning with 0

Full name of account holder(s) *

Phone number *

Email address *

Date of birth *

Day Month Year

Contact Details

Customer ID (if known)

Full name of account holder(s) *

Phone number *

Email address *

Date of birth *

Day Month Year

Property details

Lot Number (optional) This is the lot number for the address of the new connection/disconnection

Your full address * This should be the address of your new connection/disconnection. Please include street address, suburb and postcode

Is your postal address the same as your full address? *

Postal address * This is where we will send any bills

What is your preferred date for (dis)connection? *

Are there any special reasons why services cannot be interrupted without notice? (optional) For example life support systems or manufacturing processes that rely on power or water services. This will allow us to work out the correct date and times for you.

Property details

Lot Number (optional) This is the lot number for the address of the new connection/disconnection

Your full address * This should be the address of your new connection/disconnection. Please include street address, suburb and postcode

Is your postal address the same as your full address? *

Postal address * This is where we will send any bills

What would be your ideal date for (dis)connection? *

Are there any special reasons why services cannot be interrupted without notice? (optional)

Temporary disconnections

How long would you like to remain disconnected for? *

Would you like us to remove the service fuse? *

Yes
No
Unsure

Would you like us to remove the service line? *

Yes
No
Unsure

Please confirm: * A link to the new charges page with a detailed description that clearly shows what this will cost. Mention here that all charges will be formalised and approved before work begins

I understand that there will be charges for this service

Please confirm the following:

I/We confirm the request:

Power and/or water to be DISCONNECTED *

I/We understand that in accordance with the Privacy Act:

Unpaid debts more than 60 days overdue may be referred to a credit reporting agency and then become available to other credit providers. Unpaid Power and Water accounts could affect your credit rating. *

I/We understand and accept that Power and Water Corporation may:

store personal information in paper and electronic formats. Power and Water takes all reasonable steps to ensure the security of all customer data. Personal information is maintained in a secure environment accessed only by authorised personnel. However, any data sent over the internet or store on internet servers cannot be guaranteed to be fully secure. These activities are undertaken at your risk. *

Please confirm the following:

I/We confirm the request: *

Power and/or water to be CONNECTED

I/We confirm the request: *

Power and/or water to be DISCONNECTED

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

Unpaid debts more than 60 days overdue may be referred to a credit reporting agency and then become available to other credit providers. Unpaid Power and Water accounts could affect your credit rating.

I/We understand and accept that Power and Water Corporation may: *

store personal information in paper and electronic formats. Power and Water takes all reasonable steps to ensure the security of all customer data. Personal information is maintained in a secure environment accessed only by authorised personnel. However, any data sent over the internet or store on internet servers cannot be guaranteed to be fully secure. These activities are undertaken at your risk.

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