Use this form if you have a commercial site and you are applying for:
Required fields are marked with an asterisk (*)
Connection and disconnection requests may take up to four business days to be processed. If your request is urgent, call us directly on 1800 JACANA (1800 522 262).
Connection and disconnection fees apply. For information visit the Pricing and Tariffs page.
Please fill in at least one of the following fields: Lot no, Unit no or Street no
Street name *
If there are access restrictions to your property such as locked gates or vegetation around the meter, the disconnection will not take place and you will be liable for usage and supply charges until access is granted.
Requested disconnection date *
Street address / PO Box *
If there are access restrictions to your property such as locked gates or vegetation around the meter, the connection will not take place.
Requested connection date *
Does the property have solar panels*
If yes, please complete a Power Purchase Agreement
Account number (if existing customer)
Business Representative First name *
Business Representative Last name *
Business Representative Date of birth *
Business name *
ABN (please provide ABN certificate with your application) *
Are you a Public Benevolent Institution registered with the ACNC? (Please send us a copy of your PBI registration)
Account PIN (nominate a 4-digit PIN to protect your account or enter your 4-digit PIN if you already have one)
Preferred delivery method (bills and correspondence)
Business Representative form of identification (DL, Passport etc.)*
Identification number *
State of issue
Expiry date *
Date of birth
Form of identification (e.g. DL, passport)
Level of authority (Enquiry only)
Postal address (if different)