ICP Request

Property Details
Lot number*
DP number (found on your title plan)*
Physical Address*

Street Address

Street Address Line 2

CityRegion

Postal / Zip Code
Requester Details
Name of person completing this form*

First NameLast Name
Phone Number*

Area CodePhone Number
Requester company name
Requester email*
example@example.com
Requester postal address*

Street Address

Street Address Line 2

CityRegion

Postal / Zip Code
Customer Details

Please provide the details of the person who will be responsible for paying the monthly power bills with your selected energy retailer.
Customer Name*

First NameLast Name
Phone Number

Area CodePhone Number
Customer email*
example@example.com
Customer postal address*

Street Address

Street Address Line 2

CityRegion

Postal / Zip Code
Counties Energy Project Number (if known)

If you received a quote and Counties Power have completed work for your network connection point, please provide us with the reference number provided for this job.
Project number
Energy Retailer

Please select the energy retailer you wish to have your connection with. This is a list of retailers who are avaliable on the Counties Energy network.
Energy retailer*

3t CompanyAmpere EnergyContact EnergyEcosmartEcotricityGenesis EnergyMega EnergyMercury Energy (Ex Trustpower)MeridianNova EnergyPioneer EnergyPower EdgePowershopPrime EnergyPulse EnergySimply EnergySwitch UtilitiesYes PowerHanergy LtdOther
Electrician Details

We must pass on your electrician details to your choosen Electricty retailer, this is required for the electricity meter installation and livening process.
Electrician company name*
Electrician full name*

First NameLast Name
Electrician contact phone*

Area CodePhone Number
Electrician email*
example@example.com
Electrical Supply Requirement
Anticipated usage of connection*

Residential UrbanResidential RuralCommercialIndustrialPumpStreetlightOther
Type of Supply*

Builder's Temporary SupplyPermanent Supply
Number of phases*

1 (standard urban residential connection)2 (minimum requirement for rural connection)3
Fuse size*

63amps (standard residential)100amps (standard commercial)Other
I/We accept that a copy of this application will be provided to my nominated retailer

YesNo
Inspection Charges

To liven this site, you will need to make a request to your chosen energy retailer. Counties Energy charges directly for the inspection and liven of this site onto the network. Payment is required prior to the inspection taking place.

The costs for inspections as at 1 April 2024 are:

Builders temporary supply $404.00+GST

Permanent supply $493.00+GST
Please select payer*
Declaration

As the legal owner of the property or as an authorised agent for the owner I hereby apply for an Installation Connection Point (ICP) to the Counties Energy electricity network.
Owner name or authorized agent*
Date*

DayMonthYear
Date
Should be Empty:

Property Details

Requester Details

Customer Details

Counties Energy Project Number (if known)

Energy Retailer

Electrician Details

Electrical Supply Requirement

Inspection Charges

Declaration