Pensioner discount application form

If you wish to be contacted about your enquiry or feedback, please select "yes" in the contact details section below. A representative from Aurora Energy will then contact you within 3 business days.

Please note: fields marked with * are required.

Your details

First name *

Surname *

Street address *

Suburb *

Postcode *

Email *

Phone *

Type of card

Please indicate the type of card held *

Health Care Card

Pensioner Concession

Department of Veteran Affairs Concession

Customer Reference Number *

Appears on your card

Date of grant *

Appears on your card, date format required DD/MM/YYYY

Terms and conditions

I am the customer responsible for the payment of electricity accounts or purchase of PAYG credits at the above address
The above address is my principal residence
Client confirmation:
- I authorise Centrelink to confirm with Aurora Energy the current status of my Commonwealth Benefit. This involves electronically matching details I have provided to Aurora Energy with Centrelink or Dept of Veteran Affairs (DVA) records to confirm whether or not I am currently receiving a Centrelink or DVA benefit.
- I understand that this consent is effective only for the period I am a customer of Aurora Energy. I also understand that this consent, which is ongoing, can be revoked any time by giving notice to Aurora Energy.
- I understand that if I withdraw my consent, I may not be eligible for the concession on electricity charges.

I agree to the above terms and conditions *