Reconsideration of claim

ELECTRICITY EMERGENCY 13 10 93 GAS EMERGENCY 13 19 09

How do I submit a claim for reconsideration?

An applicant whose claim was not accepted or finalised to the satisfaction of the claimant, may apply to have their claim reconsidered. An officer who has not been involved in making the original decision will undertake the reconsideration of your claim. This is to ensure that you will receive a fair and impartial reassessment of your claim. When the reconsideration is finalised you will receive written advice for the outcome of the reconsideration and the reason for the decision.

You can access and submit the Application for Reconsideration form below. It is important that you indicate the basis upon which you believe the original claim decision was incorrect. Please also include any new information that may further support your claim and provide as much relevant information as possible, and attach extra notes if required.

Download the form here

Reconsider claim

An applicant whose claim was not accepted or finalised to the satisfaction of the claimant, may apply to have their claim reconsidered. An officer who has not been involved in making the original decision will undertake the reconsideration of your claim. This is to ensure that you will receive a fair and impartial re-assessment of your claim. When the reconsideration is finalised you will receive written advice for the outcome of the reconsideration and the reason for the decision.

You can access and submit the Application for reconsideration form below. It is important that you indicate the basis upon which you believe the original claim decision was incorrect. Please also include any new information that my further support your claim and provide as much relevant information as possible, and attach extra notes if required.

*Denotes mandatory field

Your details

Given name *

Surname *

Daytime contact number *

Email address

Incident details

Reference number *

Date of incident *

Location of incident *

Claim details *

Reason for application

Please indicate the basis upon which you believe the original claim decision was incorrect. Please also include any new information that may further support your claim. Provide as much relevant information as possible, and attach extra notes if required. *

Upload extra notes (8 MB file upload size limit)

Attachment can be an Office document or PDF.

Statement

I / We acknowledge that:

All information provide, and statements made, are truthful and accurate and no information likely to affect the outcome of this claim has been withheld.
I/We acknowledge that Evoenergy will rely upon information supplied by me when determining this claim.
The property or goods, which are subject to this claim, are owned by me/us.
I have not made a claim for this damage to anyone else (including any insurers), nor will I make such a claim, if I accept any payment or other benefit from Evoenergy in the settlement of this claim.

I declare that the information contained in this application is correct.