Refund Request Form

Use this form to request a refund if you are a current or previous customer of Energy On.

If you have any questions, please don't hesitate to Contact Us on:

Supply Address Details

Please use the Supply Address for your Energy On supplied property.

Supply Address *

Ensure the details below match those displayed on your most recent invoice.

Your "Customer Number" is 10 digits and starts with a "7" or "8". It can be found at the bottom of your utility invoice.

Customer Type *

RB

R = Residential | B = Business

First Name *

Surname *

Business/Company Name *

ABN *

Account Email *

Email Address *

Customer Number

Phone Number (Optional)

Date of request *

Reason for refund *

Please attach a copy of the reciept of the last payment

Browse

Please ensure that the image is clear and the entirety of the receipt is shown. Maximum file size is 19MB

Payment type *

EFT

Refund amount ($) *

Bank Account Name *

BSB *

Account Number *

Send to *

Made out to *

Cheque Number *

Date sent *

Authorised by

Authorisation Date *