INhome application form

 

 

Connecting your electricity supply

 

Whether you are relocating or re-connecting, please fill in the following form or call us on 131 002 and we'll do the rest - if you do need your electricity connected immediately, please call us.

 

Your authorisation 

By completing this form you are authorising Integral Energy to connect electricity. We recommend that you have your last bill handy to complete the form. You are also providing consent to Integral Energy to collect this information for identification and validation purposes. Read about the terms and conditions, and service standards that you can expect when connecting with Integral Energy. >>

 

Is your premises within the Integral Energy network area?

Yes No
Title:
First name: *
Surname: *
Current address: *
Suburb: *
State: *
Postcode: *
Contact type:
Contact number:*
Email address:*

Account security

The following information is required for future identification and account management purposes
Drivers licence number:*
Occupation:*
Employer:*

Co-Application
Do you require a co-application on the account
Yes No
Title:
First name:
Surname:
Drivers licence number:
Occupation:
Employer:

Connect at new address
New address: *
Suburb: *
State: *
Postcode: *
Nearest cross street:
Any additional information to assist us in locating your premises:
Date you want to connect:

If you require power immediately, please contact us on 131 002. Note: Connections can be arranged Monday to Friday only.

Day: *

Month: *

Year: *

Your postal address

If your postal address is different to the above address, complete the section below.
Address:
Suburb:
State:
Postcode:
Is the property rented?

This information is relevant to us providing electricity on credit. Also, you must have consent to disclose anyone else's personal information.
Yes    No
If 'Yes', the property is rented:
Agent name:
Agent address:
Suburb:
State:
Postcode:
Agent phone number:

Is your meter readily accessible for someone reading your meter?
* Yes No
If 'No', please note below why this is so, e.g. dogs, fences, garages, locks, vegetation, etc.

Current retailer
Current retailer:
If your current retailer is NOT Integral Energy and you require disconnection from your current address, you will need to arrange this directly with your current provider.
Date of disconnection:
(Please allow 48 hours notice. Disconnection takes place Monday to Friday, between 8am - 5pm.)

Day:

Month:

Year:

Rebates
Are you eligible for any rebates? Yes   No
Is the connection address your principal place of residence?
Yes   No
Do you have any rebates?

You agree that by giving your pension details, an eligibility check will be performed with Centrelink and the Department of Veteran Affairs.
  Pension Type Number Date pension was granted
Age
Wife
Sickness
Widows
Special Benefits
Mature Partners
Parenting payment
Carers
Job search / new start
Disability support
Veteran affairs - service
Veteran affairs - total and permanently incapacitated
Veteran affairs - war widow

Nominate contract options

By default we will supply you with electricity at Integral Energy's standard rates.

Now that customers are free to choose their electricity retailer, Integral Energy has the opportunity to sell electricity to a larger group of customers. This allows us to offer potential savings to customers who enter a negotiated agreement.

Please select one of the following two options:
1. Standard form customer supply contract
Remain on Integral Energy's standard electricity supply rates. Our standard tariff rates are regulated and set by the industry regulator IPART.

OR
2. Negotiated agreement

Send me a no obligation quote

Choose a 2 year contract with Integral Energy as your electricity supplier and benefit from our competitive rates.

Select preferred energy product:
INhome SmartSaver
INhome EasySaver

 

Your rights

You may request access at any time to personal information held by us about you and ask us to correct it if you believe it is incorrect or out of date. We do not charge a fee for an access request but we may charge you our reasonable costs of processing your request.
 
How we use your personal information
We use your personal information to:
  • verify your details (eg. through your employer or a driver's licence registry) and assess your ability to repay, including obtaining information from other credit providers and/or a credit report from a credit reporting agency;
  • administer and manage this contract
  • facilitate our business operations including marketing
Our right to disclose your personal information
We may disclose your personal information if necessary to:
  • our agents, contractors or third party service providers that provide services for the purposes only of our business (including agents employed to collect moneys owing to us). We are taking steps to limit their right to use your personal information only for these purposes.
  • relevant regulators and authorities where the law requires or permits us to do so (for example, under energy laws or for law enforcement)
  • any organisation considering acquiring an interest in our business and its advisers, or
  • other organisations if you consent or ask us to do so
  • a credit reporting agency if a payment is overdue by over 60 days and collection action has started.
Your authority to us
  • By signing this document you authorise us to collect, maintain, use and disclose your personal information in the manner described.
Please note:
  • Supply of electricity to the premises will commence between 10 days and 21 days after we receive this application signed by you.
  • Supply may commence earlier where:
    • there is a new connection service to your premises. This includes where the premises have not been previously connected to the Integral Energy distribution system.
    • you are being supplied under a new occupant supply arrangement. This includes the situation where you have already moved into the premises and are being supplied with electricity prior to making this application.
  • We may in certain circumstances refuse to commence supply within the time limits specified above. This includes where you have failed to provide security (if requested) or failed to pay moneys owing to us. We will let you know as soon as possible if we intend to refuse supply for these reasons.
  • Unless otherwise notified by you, this application is also an application to have the premises connected to the Integral Energy distribution system.

  • By selecting the 'I Agree' button, your request will be sent to Integral Energy for processing.
 
  
Contact Us

Contact us

131 002

Emergency

131 003