Self Serve Forms
Dive in and serve yourself – don’t be shy
Self Serve Forms
Download the form you need. and email the completed form to cs@globirdenergy.com.au
– or – post it to PO Box 398 Ringwood, VIC 3134
Can’t find what you’re looking for? Call us on 133 456 and we’ll help you locate it.
Self Serve Forms
Abolishment (Permanent Removal) of Electricity Supply
For removal of an electricity meter in Victoria
Add Joint Account Owner Application
Add joint account owner to account
Application for service – Electrical Works Request (EWR)
Covers new and upgrades of electricity connections
Setup Direct Debit payments from your nominated account
Covers new, abolished and upgraded gas connections
Life Support Concession and Machine Notification Application
Assists VIC households with life support concession
Medical Confirmation Form (Life Support)
Life Support Protection Application form
Medical Cooling Concession Application
Assists VIC households with costs for medical cooling
Self Serve Forms
Add Joint Account Owner Application
Add joint account owner to account
Certificate of Compliant Electrical Works (CCEW)
Form is required if the premise has had any electrical works recently taken place – new installations, alterations or additions.
Setup Direct Debit payments from your nominated account
Electrical Installation Safety Inspection Certificate
Form is required if an electrical installation has been de-energised for 6 months or more.
Covers new, abolished and upgraded gas connections
Life Support Rebate Application
NSW rebate for operating approved life support equipment
Medical Confirmation Form (Life Support)
Life Support Protection Application form
Medical Energy Rebate Application
NSW rebate for customers who have an inability to self-regulate body temperature
Self Serve Forms
Abolishment (Permanent Removal) of Electricity Supply (AER)
For removal of an electricity meter in South Australia, Queensland, New South Wales.
Add Joint Account Owner Application
Add joint account owner to account
Setup Direct Debit payments from your nominated account
Covers new, abolished and upgraded gas connections
Medical Confirmation Form (Life Support)
Life Support Protection Application form
Self Serve Forms
Abolishment (Permanent Removal) of Electricity Supply (AER)
For removal of an electricity meter in South Australia, Queensland, New South Wales.
Add Joint Account Owner Application
Add joint account owner to account
Setup Direct Debit payments from your nominated account
Covers new, abolished and upgraded gas connections
Medical Confirmation Form (Life Support)
Life Support Protection Application form