ELECTRICITY EMERGENCY

GAS EMERGENCY

Basic connection application

Please note this form was previously referred to as a Request for Service (RFS).

Before you get started, please note we will levy a charge to the signatory or connection applicant for non-compliance with the Evoenergy Service and Installation Rules, and model standing offer for basic connection services. This also applies for installation defects due to obstructed access or the site not being ready for the requested connection service work.

All charges are as per our Schedule of Electricity Network Charges and the model standing offer for basic connection services. If we reasonably need to make a site inspection in order to determine the nature of a connection service, we may charge our reasonable expenses to the connection applicant.

We take your privacy seriously – the information you give us will never be provided to third parties or used to send unsolicited emails.

Read Evoenergy's privacy and security statement.

*Denotes mandatory field

Expedited connection

I request an expedited connection

If your application meets the criteria for a basic connection service as outlined in Evoenergy's model standing offer for basic connection services (available here), your connection contract will commence immediately upon receipt of your application by Evoenergy.

Work site address

Customer or business name *

Unit number

Floor

Street number *

Street name *

Block *

Section *

Suburb *

Existing meter number

Builders name

Contact number

Have you made contact with Evoenergy Electricity Projects Group? * Yes No

Evoenergy project number *

Name of person at Evoenergy Electricity Projects to contact *

Work requirements

Premise type

Commercial

Unmetered supply

Residential

Builders temp site

Connection type

New

Temp supply (pole)Temp supply (pole) – Applications for these work types cannot be accepted prior to the completion of a Basic Design Application (BDA) form.

Alteration

Temp generator

Number of premises to create Single premise Multiple premises

Number of common power areas

Number of units

Only submit this form for the units that are ready (i.e. you know that the door number of each unit matches the switchboard) for creation of a National Meter Identifier (NMI) to enable the installation of metering. Subsequent units that are completed after the written start date will require another application form.

Will provide spreadsheet containing unit number details? * Yes No

Spreadsheet containing unit number details (8 MB file upload size limit)

Attachment can be an Office document or PDF.

Number of embedded network “Parent” premises to create

Key dates

Please note you (or your customer) will need to contact a retailer to ensure a meter is installed at the site.

Is your site ready for Evoenergy to commence work? * Yes No

By selecting 'Yes', you confirm the site is ready as of today.

Site will be ready on *

Service type Overhead Underground

Evoenergy can no longer install meters. Contact your retailer for further assistance.

Planned connection/meter size

1 Phase

Current transformer (CT)

3 Phase

Unmetered

Off-peak

Other

Other (please specify)

You must submit an application for metering to your retailer

Appointment details

Applications for these work types cannot be accepted prior to the completion of a Basic Design Application (BDA).

Overhead to overhead (OH to OH)

Drop service for minor works

Underground to overhead (UG to OH)

1 phase - 3 phase cable upgrade1 phase - 3 phase cable upgrade – Applications for these work types cannot be accepted prior to the completion of a Basic Design Application (BDA) form.

Overhead to underground (OH to UG)

Electric vehicle charge point

Underground to underground (UG to UG)

Consumer mains upgrade

Disconnection for Meter Board Upgrade

Evoenergy site visits required * 1 site visit 2 site visits (same day) 2 site visits (different days)

Additional comments

Load requirements

Calculated maximum demand (amps per phase) *

Consumer mains size (mm²) *

Main earth connection location

Asbestos requirements

The How to Manage and Control Asbestos in the Workplace Code of Practice (ACT) mandates that any individual who oversees refurbishment work at a site must hire a licensed asbestos assessor. The assessor must ensure, so far as is reasonably practicable, that any asbestos is removed by a licensed removalist before the work commences.

Is there asbestos on site? * Yes No

Is the asbestos likely to be disturbed as a result of the requested works? * Yes No

You will need to remove the asbestos and provide Evoenergy with documentation from a licensed asbestos assessor stating that the asbestos has been removed from the site along with this form. Work will not be undertaken by Evoenergy until all asbestos has been removed.

Assessment as to the presence of asbestos (8 MB file upload size limit)

Attachment can be an Office document or PDF.

Site energisation

Evoenergy will energise to the network boundary. Further energisation requires Access Canberra inspection and an approval label on-site. You (or your customer) must also contact the retailer to set up contractual arrangements and arrange metering. Available retailers are at aer.gov.au. After connection, you’ll be on a deemed standard connection contract (available here).

You will be contacted via email and provided with a letter containing details of your appointment after payment or other pre-conditions are met. For more information please call 13 23 86.

To the applicant

You have requested an expedited connection in this form. If Evoenergy is satisfied that your connection application is for a basic connection service that falls within the terms of Evoenergy’s model standing offer for basic connection services, then the connection contract will commence immediately on the date Evoenergy receives this application. If you do not want an expedited connection, see evoenergy.com.au for more information on non-expedited connections. Note: Evoenergy’s model standing offer for basic connection services and information about what is a basic connection service is available at evoenergy.com.au

To Evoenergy

If I have chosen to expedite my connection application I certify that the proposed connection service is a basic connection service in accordance with the Evoenergy Service and Installation Rules and Evoenergy’s model standing offer for basic connection services.

Important notice

Evoenergy will levy a charge to the signatory or connection applicant for non-compliance with the Evoenergy Service and Installation Rules and model standing offer for basic connection services, or for installation defects due to obstructed access or the site not being ready for the requested connection service work. All charges are as per Evoenergy Schedule of Electricity Network Charges and the model standing offer for basic connection services.

If Evoenergy reasonably needs to make a site inspection in order to determine the nature of a connection service sought by a connection applicant, we may charge our reasonable expenses to the connection applicant.

Definitions

Basic connection	See evoenergy.com.au for more information
CT	Current transformer.
Expedited connection	See evoenergy.com.au for more information. I understand that an expedited connection is available to me if the application is for a basic connection service and I agree that a connection offer in terms of Evoenergy's model standing offer for basic connection services is acceptable to me.
Non-expedited connection	See evoenergy.com.au for more information on how to request Evoenergy to prepare and provide a connection offer for review and acceptance before undertaking the requested works.
EV	Electric Vehicle
O/H	Overhead
BCA	Basic Connection Application
U/G	Underground
Connection	Means physical connection of the premises to the Evoenergy Network.
Energisation	Means the insertion of fuses to allow the flow of electricity to your premises.

Applicant declaration

Subject to and in accordance with the National Electricity Rules, I understand and agree that by signing below and submitting this application to Evoenergy:

I am applying for connection or alteration to Evoenergy's electricity network under the Model Standing Offer for Basic Connection Services.
I agree to pay a fee as per Evoenergy's Schedule of Electricity Network Charges to cover expenses incurred by Evoenergy in completing this Basic Connection. The fee shall be invoiced and I understand that work may not commence on my request until payment is made.
Any confidential information of Evoenergy disclosed during the course of negotiations must be kept confidential.This form does not constitute an offer and does not commit Evoenergy to providing any goods or services.
I warrant that I am authorised to execute this application on behalf of the connection applicant.
Being duly authorised, I approve access at the property for which the work has been requested, for Evoenergy and any required contractors appointed by Evoenergy to complete the requested works.I further approve any outages at this property required to facilitate the requested works.

Contractor/installer *

Licence number *

Contact telephone *

Email address *

Preferred communication method * Email SMS

Date