Products & services
Application for removal of gas supply
This form is used to: arrange the total removal of the gas meter(s) and disconnect the service line at the supply address.
Time to complete this form: approximately 5 minutes.
To complete this form you will need:
Final gas meter reading - use this form if you require a final reading of natural gas.
PDF version - if you wish to print this form and return it via fax, email or post.
Note: this process may take up to 10 working days.
Contact us: 6248 3827 or email@example.com
ActewAGL takes your privacy seriously.
We take many steps to protect your privacy and keep your personal information secure.
The information you give us will never be provided to third parties or used to send unsolicited emails.
What is this form? (PDF)
Please note: The distributors will not call you to make access arrangements; please ensure that there is safe access to the meter.
Completion of the meter and service disconnection can take up to 5-10 working days. It is your responsibility to ensure safe
access is available from the time the request is made until the completion of the meter removal and disconnection at the street
has taken place.
Note: By giving authority the Account Holder authorises the performance of the work indicated above. Authority is given to bill the
party named in the section below for the work.
Note: By authorising below the party nominated above is accepting charges for the works indicated at the top of this form.
Disclosure of credit information to a credit reporting agency (Privacy Act 1988) – This Application constitutes a contract for consumer
credit. We may give credit information to a credit reporting agency for the purpose of obtaining a consumer credit report about you and/or allowing the
credit reporting agency to create or maintain a credit information file containing information about you. This information may be given before, during
or after the provision of credit to you. This information is limited to: your name and address; the fact that you have applied for credit under this Application;
the fact that we provide credit to you; the existence of any loan repayments which are overdue by more than 60 days and for which debt collection action
has started; information that, in our opinion, you have committed a serious credit infringement; or information about cheques drawn by you for $100 or
more which have been dishonoured more than once.
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