New Connections

Please select what request requirement you are after*

High-Level Assessment - Financial Estimate for budgetary purposesDesign and Quote - Contract Agreement (3 months validity) and Design

New Connection Site Location

The site location is where you would like Counties Energy Networks to supply a new power supply at the boundary. The new network connection point will be in the public corridor and will be placed close to the boundary of the site. Counties Energy does not complete asset or cable installations within private property, please see other service providers.

Site Address*

Street Address

Street Address Line 2

CitySuburb

Postal / Zip Code

DP number (found on your title plan)*

Lot number*

Number of new lots*

Customer Reference

Requestor Details

Name of the person completing this form*

First NameLast Name

Company name

Contact phone*

Area CodePhone Number

Email*

example@example.com

Details of the Legal Owner of the Site

Legal name(s) of property owner*

First NameLast Name

Contact phone*

Area CodePhone Number

Email*

example@example.com

Postal address*

Street Address

Street Address Line 2

CityRegion

Postal / Zip Code

Electrician Details

Counties Energy recommends that you discuss your connection requirements with an electrician to ensure the correct connection capacity is provided to your sites. If you have already engaged an electrician please provide their details below:

Company name

Electrician name

First NameLast Name

Contact phone

Area CodePhone Number

Email

example@example.com

Quote Payer

New connections to the Counties Energy network may be subject to Capital Contribution.

In this section, the billing details of the person(s) or entity responsible for paying the quote or capital contribution should be provided here. If the details are already provided above please select this from the dropdown list below:

If the Bill payer is listed above, please select

Full legal name

First NameLast Name

Contact phone

Area CodePhone Number

Email

example@example.com

Billing address

Street Address

Street Address Line 2

CityRegion

Postal / Zip Code

Anticipated usage of lots*

Number of phases per lot (1 = Standard Residential / 2 = Minimum for Rural)*

123

Capacity required per lot (63 Amps = Standard residential)*

32 Amps63 AmpsOther

Do you require power to be livened immediately after a network connection point is provided?

YesNo

Communication

Communication is important to us. To ensure that Counties Energy keeps the right people informed throughout the design process, please complete the following section:

If a designer needs further information, who should we call?*

Who needs to be kept updated on this job?*

RequesterOwnerElectricianBill Payer

Do you require a letter of compliance when the network connection point is available?

YesNo

Site Plans

Please provide a detailed plan of where the new lots will be located, indicating the location of all new electrical points of supply. Ensure street names and other location information is included.

Site plans*

Other Details

Declaration

As the legal owner of the property or as an authorised agent for the owner I hereby apply for a new or updated point of supply to the Counties Energy electricity network.

I confirm that I am duly authorised to sign this application and confirm that the Owner agrees to be bound by the terms and conditions as stated by Counties Energy Limited and hereby accepts all charges in relation to this application.

Owner name or name of authorised agent*

Date*

Date

On submission of this form you will receive notification that the application has been sucessfully received within two business days. It may then take up to 15 working days for a formal offer and contract to be received.