Application for miscellaneous electrical works

ELECTRICITY EMERGENCY

13 10 93

GAS EMERGENCY

13 19 09

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*Denotes mandatory field

Development details

Please visit ACTmapi.act.gov.au to determine the correct block and section of the development.

If you are working in the verge (where there is no block number) please enter the nearest block to the location. For rural blocks the section should be "0" or "n/a".

 

Type of work

Disconnections and alterations below are for services >100A only. For services < 100A please complete a basic connection application form.

 

Key dates

Attachment can be an Office document or PDF.

 

Attachment can be an Office document or PDF.

 

Attachment can be an Office document or PDF.

 

Customer details

 

Consultant / Contractor details (if applicable)

 

Applicant declaration

I understand and agree that by signing below and submitting this application to Evoenergy:

  • Evoenergy may charge a reasonable fee to cover expenses associated with assessing this Application for Miscellaneous Electrical Works and subsequently when making an offer
  • Any confidential information of Evoenergy disclosed during the course of negotiations must be kept confidential
  • Evoenergy will use its best endeavours to make an offer within 20 business days of receiving this application, if it is complete and relevant
  • This form does not constitute an offer and does not commit Evoenergy to providing any goods or services by the dates requested. Evoenergy’s offer will identify the dates/timeframe for the works to be performed
  • I warrant that I am authorised to execute this application on behalf of the applicant.