This form is used to: arrange a natural gas connection to your commercial property.

Time to complete this form: approximately 7-10 minutes.

To complete this form you will need:

  • Identification (e.g. passport or drivers licence)
  • List of appliances you are connecting and their usage information
  • Gas fitter / installer details

Please note: Due to the variety of works required for commercial installations, your application will be referred to Networks for generation of a quote, which will be forwarded once received for your acceptance. The time frame for the generation of the quote is up to 65 business days. 

PDF version - if you wish to print this form and return it via fax, email or post.

Note:  you will be provided with a quote for the works required to install gas to your commercial property. The time frame for this is usually within 65 business days. Installation will be scheduled once acceptance of the quote is received.

Important: failure to provide correct information could result in a delay in connection.

Contact us: 6248 3827 or actnewcons@actewagl.com.au

Natural gas service application – commercial

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Security statement

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.

Read ActewAGL's privacy policy

* Required fields

What service do you need?

*
Installation
Addition/Alteration
Removal/Abolishment

Customer information

The 'Customer' is defined as the person responsible for the gas account, e.g. business owner. The person applying for the gas connection service will be responsible for the payment of the ActewAGL natural gas bill including the quarterly supply fee and usage charges payable from the date of meter installation.

*
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*   dd/mmm/yyyy
  (Example 12/Dec/1988)
*
*
Postal address
*
*
*
*
 
Contact details   (at least one phone number is required)
 
 
 
 

Installation (premises) information

 
 
*
*
*
*
*
ActewAGL only services the postcodes in the list, if you live outside this area please contact your retailer.
Plumber details
*
*
*
Meter position
physical supply of natural gas example image
*
Example: On the right-hand side of the house as viewed from the street (Crawford street), 1.5 meters from the front corner of the house.
*

Appliance details

Note: it is important that we know your total appliance details for correct meter sizing.

Appliance
description
Appliance
new or
existing
Quantity Hourly
rate
(MJ/hr)
Usage
%
capacity
Hours
used
per
day
Days
used
per
week
Weeks
used
per
year
Annual
usage
 
 
 

Service Application Fee/Authority to Perform Work

From $1095 (inc. GST) for new installation*
From $785 (inc. GST) for meter kit, meter upgrade/downgrade.

A variable fee is charged by the distributor for the Removal/Abolishment service. You will be notified of these charges prior to commencement of work.

* Non-standard services are subject to additional charges. You will be advised of any fee variation prior to the commencement of work.

Terms and conditions

Authority to perform work is not required because this is now covered in the acceptance of the model standing offer (see below). The acknowledgment on the existing form about the on-site is now contained in the “Your Acceptance” section in the full terms and conditions.

Your acceptance

Acceptance of model standing offer

I hereby authorise ActewAGL Retail to arrange, on my behalf, for my Distributor to carry out the Basic Connection Service to the Premises and acknowledge that by submitting this form, I am indicating that the terms set out in my Distributor's model standing offer for basic connection service ( a copy of which can be requested from my Distributor) are acceptable to me.

Credit check

I authorise ActewAGL to conduct a credit check and use any relevant information obtained about my credit history to enable ActewAGL to establish my creditworthiness.

By submitting this application, I acknowledge that this information may be used to assess my application; to assess the credit which may be provided; to assist me to avoid default and to notify other credit providers of my default; to assist in the collection of overdue payments and to provide information to any person who proposes to guarantee or has guaranteed payment of my account.

ActewAGL's Credit Reporting Policy is available at www.actewagl.com.au/Help-and-advice/Legal/Privacy-policy.

*

I agree to the terms and conditions.