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Supply interruption lodgement request form - Step 1 of 2

Please use this form to lodge your details regarding your supply interruption claim and arrange for the appropriate documents to be posted to you.

In order for us to process your request, please complete all sections of this form.

Your contact details

First name
Surname
Postal address
Suburb
State
Postcode
Email
Daytime telephone number

Account and address details of where interruption occured

Aurora Energy account number where the loss of supply occurred (your account number can be found in the top right hand corner of your Aurora bill)
Is this account in your name?

Address where the supply interruption occurred
Street address
Suburb
State
Postcode

Details of the supply interruption

Date of the event
Did the power go off?

List of items lost:
Description of the event:

What would you like from us

Please indicate the type of correspondence that you would like from Aurora Energy

 

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