Residential Letter of Authority to Act

Contact Name *

Billing Address *

Contact Phone Number *

As a part of our process of quoting energy pricing for your accounts, we require authority to act on your behalf with some retailers and other relevant parties. Please fill in the required information, sign below and return, giving Specialist Energy Management Pty Ltd (SEM) ACN 146 634 997 permission to act on your behalf within the following areas of your retail electricity and gas connections:

Account set up
Novation - change of ownership
Energy pricing (electricity and gas)
Tariff restructuring (when required)
Energy Bills being sent to our office via our email address on request
Escalation of unresolved issues via the retailer
Escalation of unresolved issues via the relevant Ombudsman
Authorisation for retailers to perform credit checks
Commission of up to 3% payable on raw energy rates C&I only.
Any other matters relating to the effective management of your energy accounts
De-energise a site on request.

This LOA remains valid from the date of signing unless otherwise revoked in writing by you.

Contact Email Address *

example@example.com

Signed *

Clear

*

Note that this LOA gives SEM the ability to source offers/contracts for you, but NOT to accept them. This LOA remains valid from the date of signing unless otherwise revoked in writing by you.

Date *

Date

Upload Bill Here: *

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Residential Address *

Years at residential address *

Date of Birth *

ID: Driver's License or Passport No. *

ID: Expiry Date *

Place of Birth *