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 | |||
|---|---|---|---|
| Form | State | Description | Format |
| Abolishment (Permanent Removal) of Electricity Supply | VIC | For removal of a electricity meter in Victoria | Download PDF |
| Application for service – Electrical Works Request (EWR) | VIC | Covers new and upgrades of electricity connections | Download PDF |
| Gas application | ALL | Covers new, abolished and upgraded gas connections | Download PDF |
| Direct Debit | All | Setup Direct Debit payments from your nominated account | Download PDF |
| Medical Confirmation Form (Life Support) | VIC | VIC Life Support Concession form and info | Download PDF |
| Life Support Concession and Machine Notification Application | VIC | Assists VIC households with life support concession | Download PDF |
| Medical Cooling Concession Application | VIC | Assists VIC households with costs for medical cooling | Download PDF |
| Life Support Rebate Application | NSW | NSW rebate for operating approved life support equipment | Download PDF |
| Medical Energy Rebate Application | NSW | NSW rebate for customers who have an inability to self-regulate body temperature | Download PDF |
| SA Power – Notification of installation/removal of Life Support Equipment | SA | Registration for life support equipment and protection | Download PDF |
| Energex – Life support Medical Confirmation form | QLD | Registration for life support equipment and protection | Download PDF |
| Ergon Energy – Life support Medical Confirmation form | QLD | Registration for life support equipment and protection | Download PDF |