Electricity Supply Request INFORMATION SHEET Customer Projects 8 Beaconsfield Avenue BEACONSFIELD VIC 3807 Tel: 1300 360 795 Fax: 03 9238 6447 e-mail: supplyrequest@ausnetservices.com.au Thank you for your inquiry. Please follow the 4 steps as detailed below. STEP 1 – applicant contact details STEP 2 – type of electricity supply request Please indicate: (A) whether you want a Preliminary Estimate or Firm Offer and (B) the nature of the work required. Preliminary Estimate – Office Based Design / Assessment. No Site Visit. An indicative price only, for making electricity supply available. There is no charge for this option. Firm Offer – Field Based Design / Assessment. Site Visit Required. A fixed price for making electricity supply available to a property. This option has an up front Project Fee from $550.00. This offer is valid for 60 days and the project fee is non refundable. * Please make cheques payable to AusNet Asset Services Pty Ltd ABN 27 075 826 881. STEP 3 – details of property requiring electricity IMPORTANT - IS THIS A SUBDIVISION? If property is being subdivided, you must provide a plan of subdivision with this application. Architectural or building site plans are not acceptable. You must also provide the location of electricity supply arrangements of existing dwellings. STEP 4 – amount of electricity required – parts A, B & C IMPORTANT: This information must be provided in full to avoid delays. Please consult your electrician. C. Existing & Proposed Equipment - Estimate as accurately as possible the amount of electricity supply (in kilowatts or horsepower) you plan to use. It is critical that we know if you are installing Floor Heating, Air Conditioning or any other high load equipment. Our design is based upon your information and requirements. Property Sketch - Please sketch your property to help us identify where you want your electricity supply. If it is a large rural property, you must detail the exact location (measurements & pole numbers) and all other buildings and objects. Fences will be assumed to be the property boundary unless otherwise indicated. Please ensure you indicate the location of any obstructions or features such as: rows of trees existing buildings waterways railway lines highways steep sloping ground rocky terrain powerlines crossing property Telstra or other utility’s assets. SOP 11-4013A Issue 17 4/8/2014 1/2 Example of Property Sketch T RES NEA SS CRO D ROA dist n Bou dar y e ce tan dis anc ty per Pro EET STR existing/proposed buildings E NAM ce t an d is SHED DAM Neighbour Property No # dist e anc Pole# 123456 NORTH * An aerial photograph of your property may be available at no cost on the internet or via your estate agent or local council. Pole Numbers Please provide the pole number and the distance of the power pole closest to your property. The pole number is generally on a strip of plastic or aluminium attached to the pole at eye level and between 4 and 6 digits in length. * Providing us with a clear photograph of the pole numbers will ensure accuracy and avoid delay. How long does it take to get connected? The time frame to connect power is determined by a number of factors including our works schedule and activities such as surveying and obtaining necessary permits and approval from councils and other authorities. A more specific time frame will be provided once contracts have been signed and payments received. Please advise us if you think a new powerline may need to cross your neighbour’s property. If known please provide neighbour’s contact details Important Notice Concerning Your Privacy Personal details are collected and used solely for the purpose of providing the requested services. This information will be treated as confidential and only disclosed to our construction and engineering agents and your electricity retailer to enable the delivery of the requested works. If you wish to gain access to this information please contact our Customer Contact Centre on 1300 360 795. SOP 11-4013A Issue 17 4/8/2014 2/2 Electricity Supply Request APPLICATION Customer Projects 8 Beaconsfield Avenue BEACONSFIELD VIC 3807 Tel: 1300 360 795 Fax: 03 9238 6447 e-mail: supplyrequest@ausnetservices.com.au STEP 1 Applicant Contact Details Our Ref: Name: Company Name: ABN: Postal Address: Suburb: Postcode: Phone No: Fax No: Mobile No: Email: Your Registered Electrician: STEP 2 Phone No: Type of Electricity Supply Request FIRM OFFER (please complete invoice details over page) A PRELIMINARY ESTIMATE B New Electricity Supply Upgrade to Existing Supply Underground Service Pit Availability of Supply Pole Relocation Private Overhead Line Availability of 3 phase Other (provide details) STEP 3 $550 payment included Send invoice (credit card/EFT) Details of Property Requiring Electricity Property Owner: Road Address: (Lot & Street No) Suburb: Nearest Cross Rd: Nearest Pole No: Melway/Vic Roads ref: Crown Allotment: Parish: Are you currently building: Yes If already on supply: (refer to your bill) No Estimated completion date: Meter No: NMI No: If property is subdivided: Complete if property is subdivided or is in the process of being subdivided (attach plan) Subdivision Name: SOP 11-4013A Issue 17 Subdivision Plan No: 4/8/2014 1/2 STEP 4 A Amount of Electricity Required Premise Type: Single Premise B Domestic Commercial Multiple Premises Industrial Number of Units: Farm Size: (squares) Nature of Business: (eg: dairy farming) IMPORTANT: This information must be provided in full to avoid delays. Please consult your electrician C Supply Required: 1 Phase (230 volts) (E) Existing or (P) Proposed Equipment eg: Air Conditioning General Power & Lights (covers general household appliances and lights) P 2 Phase (230/460 volts) 3 Phase (230/400 volts) Number of Units Rating (kW) or (hp) or (amps) Number of phases Daily Hours of Use 2 3.8 kW 1 7 P/E 2 kW Air Conditioning INPUT/OUTPUT (Specify if INPUT or OUTPUT) Electric Floor/Storage Heating Electric Water Heating Electric Oven/Hotplates Pump Other (please specify) * Phase & rating details (kilowatts (kW) or horsepower (hp) or amps) should be noted on the appliance / machinery, within its manual or via the manufacturer. Please provide the starting method used for any motor rated over 3.75 kW. Invoice Details for Firm Offer Company Name: Name: ABN: Postal Address: Suburb: Postcode: Phone No: Fax No: Mobile No: Email: Signature: Date: Please Read & Sign Below I/we* understand that the subsequent preliminary advice provided by AusNet Services will be based upon the information provided in this Electricity Supply Request, without detailed assessment. The preliminary estimate is not binding, although the amount is generally effective for up to 60 days. Any constraints placed on AusNet Services by third parties may cause additional costs to you or your client. Construction of the electricity supply extension is programmed upon acceptance of a contract and receipt of any payments required from the applicant. Negotiations need to be finalised about four months prior to electricity supply being made available. I/We* understand that electricity will not be connected until AusNet Services has received a prescribed “Certificate of Electrical Safety” (CES) according to regulations as determined by Energy Safe Victoria. Signed: SOP 11-4013A Issue 17 Date: 4/8/2014 / / 2/2 DRAW A SKETCH OF YOUR PROPERTY (REFER EXAMPLE ON INFORMATION SHEET) SOP 11-4013A Issue 17 4/8/2014 1/1