Please Wait

Important: Tariffs and all scripting that are displayed on this form are being displayed as if the date is

Important: You are using a demo account. Orders submitted through this agent code will not be submitted to retailers.

Important: Please ensure your address information is correctly entered.

<% $root.agent_preferences.welcome_text %> Welcome

<% $root.agent_preferences.moving_house_lead %> Moving house? Let us handle the boring stuff while you focus on your move. Would you like us to...

Connect New Address

<% $root.agent_preferences.connection_address_description %> Get connected and set up in your new home.

Connect & Close

<% $root.agent_preferences.move_address_description %> Get connected in your new home and close your accounts at your previous address.

Close Accounts

<% $root.agent_preferences.disconnection_address_description %> Close your accounts at your previous address.

If you have one please enter a promo/referral code:

Receive $50 credit to your account when you connect your electricity and/or gas through Fast Connect in NSW. Terms and Conditions apply and can be viewed here.

Receive $50 credit to your account when you connect your electricity and/or gas through Fast Connect in VIC. Terms and Conditions apply and can be viewed here.

Receive $50 credit to your account when you connect your electricity and/or gas through Fast Connect in eligible regions of Queensland. Terms and Conditions apply and can be viewed here.

Receive $50 credit to your account when you connect your electricity and/or gas through Fast Connect in SA. Terms and Conditions apply and can be viewed here.

Receive $50 credit to your account when you connect your electricity and/or gas through Fast Connect in ACT. Terms and Conditions apply and can be viewed here.

Receive $50 credit to your account when you connect your electricity and/or gas through Fast Connect in WA. Terms and Conditions apply and can be viewed here.

Online offer, receive $50 credit to your account when you connect eligible services through Fast Connect. Terms and Conditions apply and can be viewed here.

Enter consultant's name:

Enter your staff member name:

Staff member name: Logout

Who are we?

Fast Connect is Australiaâ€™s leading connections service provider, helping people move home anywhere in Australia. We provide a free and simple service for customers who are moving home and wish to have one point of contact for all utility account set-ups, closures and transfers. Itâ€™s super easy, and takes a lot of stress out of moving house.

How does it work?

By completing the below application, your information is collected and securely sent to your selected retailer on your behalf to have electricity, gas, water, home phone, internet and Pay-TV accounts set up at your new address. You can select to have one utility account set up, or all. This is selected as you complete the application.
You can also request to close old accounts at your previous address at the same time.

Please review and verify, or edit, the below information provided. Please review and verify, or edit, the below information provided by your agent.

Please select the order type that you would like us to pre-fill:

Is this order for a residence or a business?

Residential

Business

Customer Application Delivery

Would you like us to send this reference to your customers email address or SMS, or is the customer present and able to sign on your screen?

Send to Customer

Sign on Screen

Application Details

Review & Submit

Application Verification

We are missing some required information.

Please ensure you have fully completed all compulsory fields so we can get started on your utility request.

Connection Address Connection & Disconnection Address Connection Address Disconnection Address Connection & Disconnection Address Connection Address Connection & Disconnection Address Connection Address Disconnection Address Connection & Disconnection Address - Missing Details Please Review

Utilities & Communications Utilities & Communications - Missing Details Please Review

Applicants Applicants - Missing Details Please Review

Ready to connect?

We can get your utilities connected for you now. Click "Start Application" below to get your application started.

We can get your utilities connected for you now.

Start Application

OR

Please remind me!

Schedule a reminder for when you are ready to connect your utilities. Alternatively click on "Start Application" at any stage to get your application started.

Remind me in days.

Set Reminder

What happens now?

We've scheduled your reminder. Alternatively, you can start your application at any time by clicking Start Application below. If you wish to cancel the reminder at any time, please contact us on 1300 661 464.

Start Application

The simple way to get connected.

Recevie a ^$50 credit to your account when you connect through Fast Connect

Our free service will get your phone, internet, electricty, gas and pay-tv set up for when you move into your new home.

Click above to fill in one simple form. Once we've recieved your request, we will organise all connections for you and keep you up to date via email. That way, you can relax and get ready to commence your studdies.

Remember: Enter your promo code to receive a $50 credit to your account upon connection.

Free service to connect
No lock-in contracts
Stress free and secure
Easy online application
Phone and email support
Choice of top Australian retailers

*Terms and conditions apply

This is the telco page

Total Once Off: $
Total Monthly: $

<% product.name %> $<% getTargetFee(product,'PLAN_FEE') %>/per month
$<% getTargetFee(product,'CONNECTION_FEE') %> Connection Fee
$<% getTargetFee(product,'INSTALLATION_FEE') %> Installation Fee
Cart is empty

<% plan.name %>

Line 1

Line 2

Line 3

Cost of: $ <% getMonthlyFee(plan) %>

connection fee $ <% getTargetFee(plan,'CONNECTION_FEE') %>

install fee $ <% getTargetFee(plan,'INSTALLATION_FEE') %>

Credit Check Information:

A Credit check is required for all new Telstra customers and new residential accounts. If you already have a residential Telstra account, and would like to use this account for your services, please select Yes:

Please provide at least one of the following:

Telstra Account Number:

Telstra Mobile/Home Number:

BigPond E-mail address:

By proceeding with this application, you agree to Telstra conducting a credit check^4. and to your identifying information being checked with the Issuer or Official Record Holder.

Number of Dependents:

Primary Source of Income:

Occupation:

Employer:

Employer Phone Number:

Years with current employer:

Months with current employer:

Years with previous employer:

Months with previous employer:

Previous Address:

Years at Previous Address:

Months at Previous Address:

Summary view goes here

Connection Address

A valid connection address has not been entered. <% movein_status_title %>

<% movein_status_title %>

Disconnection Address

A valid disconnection address has not been entered. <% moveout_status_title %>

Add a disconnection address for your utilities if required.

Disconnection Address

<% moveout_status_title %>

<% moveout_status_title %>

Unit:

Street Number:

Street No:

Street Name:

Street Type:

Suburb:

State:

Postcode:

Electricity Resolution Method

Resolve Electricity via:

Loading NMI...

NMI

Loading NMI...

Couldn't resolve NMI.

MSATS Address

Loading address...

Meter(s):

Loading meters...

WARNING: Your MSATS address is not the same as your entered move in address.

Gas Resolution Method

Resolve Gas via:

Loading MIRN...

MIRN:

Loading MIRN...

Couldn't resolve MIRN.

MIRN Address:

Loading address...

Meter(s):

Loading meters...

WARNING: Your MIRN address is not the same as your entered move in address.

Update or change connection address if required.

Unit:

Street Number:

Street No:

Street Name:

Street Type:

Suburb:

State:

Postcode:

Is your customer renting or do they own the property? Are you renting or do you own the property?

Renting

Own

Required Utility & Communication Services (if known)

Electricity Natural Gas Water Internet/Phone PayTV

Move in date (if known)

Landlord/Agent Name

Landlord name is required.

Suburb

Telephone

Unit:

Street Number:

Street No:

Street Name:

Street Type:

Suburb:

State:

Postcode:

Disconnection Address

Unit:

Street Number:

Street No:

Street Name:

Street Type:

Suburb:

State:

Postcode:

Were you renting or did you own this property?

Rented

Owned

Final Bill Correspondence

Billing & Correspondence

Do you want to send the final bill to the customer via email?

Do you want to receive your final bill via email?

Do you want your customers to receive bills, plan confirmation and other important communication about their account by email?

Do you want to receive bills, your Plan Confirmation and other important communication about your account by email?

Where would the customer like their bills and correspondence to be sent?

Where would you like your bills and correspondence to be sent?

Even if you choose email as your delivery method, your retailer will sometimes have to contact you by post, so they’ll use your connection address. If you would prefer an alternative delivery address please enter it below.

A physical address is required to send your final bill to.

Note Your customer's bills and correspondence will be emailed to the nominated email address. If they have not received their Plan Confirmation in 5 business days please make sure they have checked their email SPAM or junk folders as these communications may be filtered by their email provider.

Note Your bills and correspondence will be emailed to your nominated email address. If you have not received your Plan Confirmation in 5 business days please make sure you have checked your email SPAM or junk folders as these communications may be filtered by your email provider. Even if you choose email as your delivery method, your retailer will sometimes contact you by post, in these cases they will use your connection address.

Your bills and correspondence will be sent to your connection address. A paper bill fee of up to $1.75 (incl GST) may apply.

Your bills and correspondence will be sent to your previous address. Please ensure that you have mail redirection set up through Australia Post.A paper bill fee of up to $1.75 (incl GST) may apply.

Your bills and correspondence will be sent to the address below. A paper bill fee of up to $1.75 (incl GST) may apply.

Your bills and correspondence will be sent to your connection address. A $1.69 paper bill fee will apply.

Your bills and correspondence will be sent to your previous address. Please ensure that you have mail redirection set up through Australia Post.A $1.69 paper bill fee will apply.

Your bills and correspondence will be sent to the address below. A $1.69 paper bill fee will apply.

Unit:

Street Number:

Street Name:

Street Type:

Suburb:

State:

Postcode:

PO Box Number:

Suburb:

State:

Postcode:

Care Of Details, if needed. (First line of Billing Address)

C/O:

Final Bill Correspondence

Billing & Correspondence

Where would the customer like their final bill and correspondence to be sent?

Where would you like your final bill and correspondence to be sent?

Your bills and correspondence will be sent to your connection address. A paper bill fee of up to $1.75 (incl GST) may apply.

Your bills and correspondence will be sent to your previous address. Please ensure that you have mail redirection set up through Australia Post.A paper bill fee of up to $1.75 (incl GST) may apply.

Your bills and correspondence will be sent to the address below. A paper bill fee of up to $1.75 (incl GST) may apply.

Your bills and correspondence will be sent to your connection address. A $1.69 paper bill fee will apply.

Your bills and correspondence will be sent to your previous address. Please ensure that you have mail redirection set up through Australia Post.A $1.69 paper bill fee will apply.

Your bills and correspondence will be sent to the address below. A $1.69 paper bill fee will apply.

Unit:

Street Number:

Street Name:

Street Type:

Suburb:

State:

Postcode:

PO Box Number:

Suburb:

State:

Postcode:

Care Of Details, if needed. (First line of Billing Address)

C/O:

Utilities & Communications

<% status_title %>

<% status_title %>

Loading Utilities...

Utility Selection

Please complete the address information above so we can provide you with the relevant utility options for your property.

Connect Services

Please confirm that you have referred to iKnow for all mandatory compliance scripting when selecting the plan for the customer.

Yes

Please confirm that you have read out the comparison script to the customer before proceeding.

Yes

Please select a retailer offer for each of your required connections below. Click Details for more information on each offer.

Loading Utilities...

<% utility_header(utility_type) %> SupplyConnection - if required Connecting to <% selected_retailer_name(utility_type) %> on <% format_connection_date(utility_type) %>

New Offer

We have an exciting new offer coming soon. Please check back later.

Local Water Supplier

Discount <% product.product_items[0].discount_relation %> than reference price:	<% product.product_items[0].discount %>%
Estimated per annum Cost:	$<% product.product_items[0].estimated_cost %>
Estimated average consumption:	<% product.product_items[0].estimated_usage %> KWH/year
Distributor:	<% product.product_items[0].distributor %>

Please select the energisation method of this connection.

Manual Energisation

Manual Energisation (Metro)

Manual Energisation (Non-Metro)

Remote Energisation

Remote Energisation (Metro)

Remote Energisation (Non-Metro)

Manual Energisation Fee: $

Manual Energisation Fee (Metro): $

Manual Energisation Fee (Non-Metro): $

Remote Energisation Fee: $

Remote Energisation Fee (Metro): $

Remote Energisation Fee (Non-Metro): $

* Fee is subject to change if the selected energisation method is not available

- View Victorian Energy Fact Sheet - - View Product Information - View Basic Plan Information - View Victorian Energy Fact Sheet - - View Product Information - View Basic Plan Information

- View Victorian Energy Fact Sheet - - View Product Information - View Basic Plan Information - View Victorian Energy Fact Sheet - View Product Information - View Basic Plan Information

Most residential electricity customers are on a single rate tariff. Where the tariff type states "CL" this means Controlled Load. Controlled load is electricity supplied to specific appliances, such as electric hot water systems or slab or underfloor heating, which are often separately metered). You can otherwise refer to your current bill (if you have one) as the tariff type for your property will generally appear on the second page.

- View all Victorian Energy Fact Sheets - View all Basic Plan Information

* All rates and fees include GST unless otherwise stated

Connection Date

Is the power active/working at the property?

Yes

Unsure

Answered: YesNoUnsure

Script Type:

Start Date

Retailer Code

Applies to all retailers.

Distributor Code

Applies to all distributors.

State

Applies to all states.

Please select your preferred time frame

Please select your preferred appointment type

Important:

I, or someone over the age of 18, will be at the property for the duration of the appointment.

An adult must be present at the property to meet the technician for the duration of the appointment time: . The technician will not call ahead of time and will leave the property if no one is present during the appointment hours.

If the appointment is missed, a wasted truck roll fee may apply and the appointment will need to be re-booked.

I will leave a key in the accessible box.

In order for the technician to gain access to the property via a key in the letter box, the letter box must be accessible and the property must be completely empty of any belongings (including garages and external sheds). Failure to ensure the letter box is accessible and the property is empty of belongings will result in the technician leaving without completing the order and a wasted truck roll fee of up to $154.60 will apply. The appointment will also need to be rebooked before the property can be re-energised.

Keys left in a letter box must be able to unlock every locked room, cupboard and external garage/shed at the property in case access is required.

In order for the technician to gain access to the property via a key in the meter box, the meter box must be accessible and the property must be completely empty of any belongings (including garages and external sheds). Failure to ensure the meter box is accessible and the property is empty of belongings will result in the technician leaving without completing the order and a wasted truck roll fee of up to $154.60 will apply. The appointment will also need to be rebooked before the property can be re-energised.

Keys left in a meter box must be able to unlock every locked room, cupboard and external garage/shed at the property in case access is required.

If there will be any personal belongings at the property on the connection date, select the 'I, or someone over the age of 18, will be at the property during the timeslot selected above.' option instead"I, or someone over the age of 18, will be at the property during the timeslot selected above." .

Questions

Telstra Products - if required

<% utility_header(utility_type) %>

Connection Date

Add a connection address for your utilities if required.

Disconnect Services

Please select a retailer offer for each of your required disconnections below.

Loading Utilities...

<% utility_header(utility_type) %> Please Select

Do you need to disconnect <% utility_type %>?

Please select the de-energisation method of this disconnection.

Manual De-energisation

Manual De-energisation (Metro)

Manual De-energisation (Non-Metro)

Remote De-energisation

Remote De-energisation (Metro)

Remote De-energisation (Non-Metro)

Please select the final read method of this disconnection.

Manual Read

Remote Read

Price or Fee Component	Standard Price or Fee* (incl GST)
Manual De-energisation Fee	$
Manual De-energisation Fee (Metro)	$
Manual De-energisation Fee (Non-Metro)	$
Remote De-energisation Fee	$
Remote De-energisation Fee (Metro)	$
Remote De-energisation Fee (Non-Metro)	$
Manual Read Fee	$
Remote Read Fee	$

* All rates and fees include GST unless otherwise stated

Manual De-energisation Fee: $

Manual De-energisation Fee (Metro): $

Manual De-energisation Fee (Non-Metro): $

Remote De-energisation Fee: $

Remote De-energisation Fee (Metro): $

Remote De-energisation Fee (Non-Metro): $

* Fee is subject to change if the selected de-energisation method is not available

Manual Read Fee: $

Remote Read Fee: $

* Fee is subject to change if the selected read method is not available

All retailers require a minimum of 3 business days notice for account closures.

Disconnection Date

Account Number

Telstra Products - if required

<% utility_header(utility_type) %>

Disconnection Date

Account Number

Add a disconnection address for your utilities if required.

An Australian contact number is required to establish your utility accounts. If you do not have one, Fast Connect can organise an account with our mobile partner Telstra.

Please select a SIM card plan from the selection below, if you also need a mobile handset, please call 1300 661 464

small

40 GB Data

^$55 per month

With ^$0 activation fee

Critical Information Summary

medium

80 GB Data

^$65 per month

Critical Information Summary

large

120 GB Data

^$85 per month

Critical Information Summary

X-Large

180 GB Data

^$115 per month

Critical Information Summary

Please select a plan from the options above.

Credit Check Information:

A Credit check is required for all new Telstra customers and new residential accounts.
By proceeding with this application, you agree to Telstra conducting a credit check and to your identifying information being checked with the Issuer or Official Record Holder.

Number of Dependents:

Primary Source of Income:

Occupation:

Employer:

Employer Phone Number:

Years with current employer:

Months with current employer:

Years with previous employer:

Months with previous employer:

Previous Address:

Years at Previous Address:

Months at Previous Address:

Click here to view your Critical Information Summary

By clicking on the Submit button, you are acknowledging that you have Read and Understood and agree to all information, terms, conditions and charges contained in the Critical Information Summary

Secondary Contact Information

Secondary Contact - If Required

They have full access to your account as yourself with only a few exceptions. However, as the primary account holder, you’re still solely financially responsible for the account

Primary Contact Information Secondary Contact Information

Contact information for <% status_title %>

<% status_title %>

Title:

First Name:

Middle Name:

Last Name:

Date of Birth:

ID Type:

ID Number:

IRN:

Card Colour:

Expiry Date:

Issued in:

Expiry Date:

Email Address:

Preferred Australian Contact Number:

Alternate Contact Number:

Do you have an Australian phone number?

By applying for a concession, you agree that your chosen retailer may confirm your concession details and eligibility with Centrelink or the Department of Communities.

Concession Type

Concession Number

Secondary Contact Authority Type

Enquiry Only

Fully Authorised

Enquiry Only: Access to account information
They can view the account details and pay bills, but not make any changes.

Fully Authorised: Make changes to the account
They can view and make changes to the account and pay bills, but aren’t responsible for the debt

Financially Responsible

Not supplied.

<% contact_type_title %>

Business information for <% status_title %>

<% status_title %>

Business Details

Company Name:

Trading Name:

ABN:

Concession Information

Are you a concession card holder? Is your customer a concession card holder?

We cannot update your concession information directly, but you can do it via the Department for Communities and Social Inclusion.

You can contact DCSI on Telephone 1800 307 758 or on the web Website: www.sa.gov.au/concessions

We cannot update your concession information directly, but you can do it via the Department for Communities and Social Inclusion. Phone 1800 307 758 or visit http://www.sa.gov.au/concessions

If you are entitled to a concession, please set up the account in the name of the concession card holder. Ergon Energy will issue you with a concession application form once your account has been created.

Your Energy Retailer will collect and use your name, postcode and concession card information from Services Australia/Department of Veteran Affairs/Department of Communities to validate your concession eligibility. This authority is only effective for the period that you are a customer of your energy retailer and you can revoke your consent at any time by contacting them.

If you do not provide your consent you may not be eligible for the concession. You are required to notify them and your card issuer of any changes in your circumstances which may affect your eligibility for a concession.

In order to verify your concession, you also agree to the following

You confirm that the connection address is your principle place of residence and the only residence in QLD for which you claim a rebate.

You also confirm that apart from any spouse or dependants that you live with at this address

Hold a pensioner concession or Queensland Senior Card; or
Receive an income support payment but do not pay rent; or
Provide care and assistance but do not pay rent

You understand and consent to AGL accessing your information held by Services Australia/ Department of Veteran Affairs/Department of Communities.

You confirm that the property is your principal place of residence and the only residence in QLD for which you claim the rebate. You also confirm that apart from any spouse or dependants that live with you, if anyone else lives with you at this address they:

Your Energy Retailer will collect and use your name, postcode and concession card information from Services Australia/Department of Veteran Affairs to validate your concession eligibility. This authority is only effective for the period that you are a customer of your energy retailer and you can revoke your consent at any time by contacting them.

If you do not provide your consent you may not be eligible for the concession.

You are required to notify them and your card issuer of any changes in your circumstances which may affect your eligibility for a concession.

You understand and consent to your Energy Retailer accessing your information held by Services Australia/Department of Veteran Affairs?

We cannot update your concession information directly, but you can do it via the Department for Communities and Social Inclusion.

We cannot update your concession information directly, but you can do it via the Department for Communities and Social Inclusion. Phone 1800 307 758 or visit http://www.sa.gov.au/concessions

If you are a concession customer, Origin may be able to waive fees that may affect your natural gas account such as a late payment fee, paper bill fee and over payment processing fee. To validate your concession eligibility, Origin Energy requires your consent to collect and use your name, address, payment and concession card information from Services Australia. This consent is only effective for the period that you are a customer of Origin Energy and you can remove your consent at any time by contacting Origin. If you do not provide your consent or remove your consent, you may not be eligible for the concession. Please be aware that you are required to notify Origin and the department of any changes in your circumstances which may affect your eligibility for a concession. Do you understand and give your consent?

If you are a concession customer, we may be able to waive fees that may affect your natural gas account such as a late payment fee, paper bill fee and over payment processing fee.

To apply for a concession, contact the SA concessions hotline on 1800 307 758.

We cannot update your concession information directly, but you can do it via the Department for Communities and Social Inclusion. Phone 1800 307 758 or visit http://www.sa.gov.au/concessions

To periodically confirm your concession eligibility, Origin need your consent to collect and use your name, address, payment, and concession card information from Services Australia and/or the Department of Veteran Affairs. Your consent is ongoing while you’re an Origin customer unless you remove your consent by informing Origin or Services Australia. If you don’t give consent, or remove your consent, then you won’t be able to receive the concession unless you provide written confirmation of your concession eligibility from Services Australia and/or the Department of Veteran Affairs. You must let Origin, and your card issuer know as soon as possible about any changes in your circumstances that affect your application or ongoing eligibility for the concession. If you’re eligible for Low Income Household Rebate and have a gas account with Origin, they’ll also automatically apply the NSW Gas Rebate to your gas account. Do you understand and consent to Origin checking your concession card status with Services Australia and/or the Department of Veteran Affairs?

To periodically confirm your concession eligibility, Origin need your consent to collect and use your name, address, payment, and concession card information from Services Australia and/or the Department of Veteran Affairs. Your consent is ongoing while you’re an Origin customer unless you remove your consent by informing Origin or Services Australia. If you don’t give consent, or remove your consent, then you won’t be able to receive the concession unless you provide written confirmation of your concession eligibility from Services Australia and/or the Department of Veteran Affairs. You must let Origin, and your card issuer know as soon as possible about any changes in your circumstances that affect your application or ongoing eligibility for the concession. Do you understand and consent to Origin checking your concession card status with Services Australia and/or the Department of Veteran Affairs?

To periodically confirm your concession eligibility, Origin need your consent to collect and use your name, address, payment and concession card information from Services Australia and/or the Department of Veteran Affairs. (*Department of Community Services for QLD Seniors Card) Your consent is ongoing while you’re an Origin customer unless you remove your consent by informing Origin or Services Australia. If you don’t give consent, or remove your consent, then you won’t be able to receive the concession unless you provide written confirmation of your concession eligibility from Services Australia and/or the Department of Veteran Affairs. You must let Origin, and your card issuer know as soon as possible about any changes in your circumstances that affect your application or ongoing eligibility for the concession. To be eligible for a concession, the address you’ve provided must be your principal place of residence and the only residence in QLD for which you claim the rebate. You must not have anyone paying rent to you at the property. If anyone other than the spouse or dependant lives with you at the property, you cannot claim the concession unless the other person(s) receives income assistance from Centrelink, Family Assistance Office or Department of Veteran's Affairs, or the other person(s) live with you to provide care and assistance. If these do not apply to the other person(s) living at your property, you will not be eligible for the concession. For more information on eligibility, contact the Queensland Concession Services. Do you understand and consent to Origin checking your concession card status with Services Australia and/or the Department of Veteran Affairs?

To periodically confirm your concession eligibility, Origin need your consent to collect and use your name, address, payment, and concession card information from Services Australia and/or the Department of Veteran Affairs. Your consent is ongoing while you’re an Origin customer unless you remove your consent by informing Origin or Services Australia. If you don’t give consent, or remove your consent, then you won’t be able to receive the concession unless you provide written confirmation of your concession eligibility from Services Australia and/or the Department of Veteran Affairs. You must let Origin, and your card issuer know as soon as possible about any changes in your circumstances that affect your application or ongoing eligibility for the concession. Do you understand and consent to Origin checking your concession card status with Services Australia and/or the Department of Veteran Affairs?

By applying for a concession, you agree that your chosen retailer may confirm your concession details and eligibility with Centrelink or the Department of Communities.

Does your customer authorise their chosen retailer to give their concession details to Centrelink or Department of Community Services to confirm their concession eligibility? Does your customer authorise their chosen retailer to give their concession details to Centrelink or Services Australia to confirm their concession eligibility? I authorise my chosen retailer to give my concession details to Centrelink or Department of Community Services to confirm my concession eligibility. I authorise my chosen retailer to give my concession details to Centrelink or Services Australia to confirm my concession eligibility.

important: Before your retailer can apply any concession to your application, please provide the information below. Before your customer's retailer can apply any concession to their application, please provide the information below.

You are not eligible for concession, contact the Queensland Concession Services for further information regarding Concession eligibility.

Concession cannot be applied to your account. You may contact Origin at a later date to have concession applied. (Concession will only apply from date of call to Origin)

Concession Type

Concession Number

Expiry Date

Life Support

Life Support Equipment and Fuel Type

Does anyone residing or intending to reside at your premises require life support equipment?

Yes

Please select the life support equipment that you will be using at the connection address.

Does this equipment require electricity or gas to operate?

Electricity

Gas

Unsure

Both

Important

Please ensure that your customer's details are correct, then send to customer for their authority to proceed.

To proceed please ensure your details are correct. Then Agree and Submit your application. Once submitted your order will be immediately lodged and confirmation sent via email and/or SMS.

Applicant Details Edit

Primary Contact

Name:

<% primary_contact_fullname() %>

Email:

<% who.primary_contact.email %>

Prefered Contact Number:

<% primary_contact_number() %>

Date of Birth:

<% who.primary_contact.date_of_birth %>

Identification:

<% primary_contact_identification() %>

Business Information

Company Name:

<% who.business_contact.business_name %>

Trading Name:

<% who.business_contact.business_trading_name %>

ABN:

<% who.business_contact.business_abn %>

Secondary Account Holder

Name:

<% secondary_contact_name() %>

Email:

<% who.secondary_contact.email %>

Not supplied.

Prefered Contact Number:

<% who.secondary_contact.phone_preference %>

Not supplied.

Date of Birth:

<% who.secondary_contact.date_of_birth %>

Identification:

<% who.secondary_contact.id_number %>

Not supplied.

Access Level:

Full Access

Enquiry Only

Financially Responsible

No secondary contact has been entered.

Primary Contact

Name :

<% primary_contact_name() %>

Email:

<% who.primary_contact.email %>

Prefered Contact Number:

<% who.primary_contact.phone_preference %>

Date of Birth:

<% who.primary_contact.date_of_birth %>

Identification:

<% who.primary_contact.id_number %>

Address Details
Edit

Connection Details

Address:

<% move_in_address %>

Bill to be sent to:

No connection address has been supplied.

Disconnection Details

No disconnection address has been entered.

Address:

<% move_out_address %>

Final Bill Location:

Connections Edit

Utility	Supplier	Required
<% utility_text(connection.utility) %>	<% connection.retailer.retailer_name %>	<% connection.connection_date %>

Disconnections

Utility	Account No.	Supplier	Required
<% utility_text(disconnection.utility) %>	<% disconnection.account_number %>	<% disconnection.retailer.retailer_name %>	<% disconnection.connection_date %>

Disconnections

Note You have not specified which retailers you want to close at your move out address.

Terms and Conditions

Acknowledgements

* All rates and fees include GST unless otherwise stated

- View all Victorian Energy Fact Sheets - View all Basic Plan Information

<% product_item.product_item_name %>

- View <% bpid_link.rate_name %>

Credit Check

Your explicit informed consent to proceed

All Set?

Offers & Marketing

From time to time your retailer(s) will let you know about their products and offers, even after your agreement ends. If you don't want them to, select OPT OUT below.

Agent Order Confirmation

Have you completed a check for existing service orders in C1?

Yes

Notes

Terms and Conditions

Acknowledgements

* All rates and fees include GST unless otherwise stated

- View all Victorian Energy Fact Sheets - View all Basic Plan Information

<% product_item.product_item_name %>

- View <% bpid_link.rate_name %>

Credit Check

Your explicit informed consent to proceed

All Set?

Offers & Marketing

From time to time your retailer(s) will let you know about their products and offers, even after your agreement ends. If you don't want them to, select OPT OUT below.

Account Holder Signature

Signed By: <% primary_contact_name() %>

Witness Signature

Signed By: <% witness_signature() %>

<% question.value %>

What happens now?

Your requests are now being processed and we'll keep you informed by email and SMS. If need be, we'll get in touch with you by phone or email.

If you have in questions, call us on 1800 092 129.

Print Application

Claim Offer

Print Application

Claim Offer

Your Rent Connect reference number is:

Your Fast Connect reference number is:

What happens now?

Your request(s) are now being processed and we will keep you informed by email and SMS.

We will process your order and send the application to your nominated retailers. If need be, we will get in touch with you by phone or email.

One of our operators will call you to process your Telstra order.

Print Application

Claim Offer

Print Application

Claim Offer

If you have any questions, call us on 1300 661 464

Order submitted with reference number:

Water lodgment received

Order submitted with reference number:

Your request for water account establishment has been received by Fast Connect. The customer does not need to take any further action

If you require any changes to be made to this order, please call us on 1300 661 464 and ask to speak our staff in regards to editing an in-flight order. Please quote your Agency Code:: .

What happens now?

An SMS has been sent to

An e-mail has been sent to

Before Fast Connect can lodge the application, the customer first needs to authorise the order with the link that they have been sent.

Once they have accepted the terms and conditions and verified that their details are correct, they can click on the submit button at the bottom of the page.

The water component of this application has automatically been lodged with the reference number: . A water order receipt has been emailed to your agencies inbox.

If you require any changes to be made to this application, please call us on 1300 661 464 and ask to speak to our staff in regards to editing an in-flight order. Please have your Agency Code:: .

Start a New Application

Return to Agent Dashboard

Print Application

If you have any questions, call us on 1300 661 464

Applicant Details

Primary Contact

Name:

<% primary_contact_name() %>

Email:

<% who.primary_contact.email %>

Prefered Contact Number:

<% who.primary_contact.phone_preference %>

Date of Birth:

<% who.primary_contact.date_of_birth %>

Identification:

<% who.primary_contact.id_number %>

Business Information

Company Name:

<% who.primary_contact.last_name %>

Trading Name:

<% who.primary_contact.first_name %>

ABN:

<% who.primary_contact.id_number %>

Secondary Account Holder

Name:

<% secondary_contact_name() %>

Email:

<% who.secondary_contact.email %>

Prefered Contact Number:

<% who.secondary_contact.phone_preference %>

Date of Birth:

<% who.secondary_contact.date_of_birth %>

Identification:

<% who.secondary_contact.id_number %>

No secondary contact has been entered.

Concession Details

Concession Type:

<% $root.who.concession.concession_type %>

Number:

<% $root.who.concession.concession_number %>

Expiry Date:

<% $root.who.concession.concession_expiry %>

Address Details

Connection Details

Address:

<% move_in_address %>

Bill to be sent to:

Disconnection Details

No disconnection address has been entered.

Address:

<% move_out_address %>

Final Bill Location:

Connections

Utility			Supplier	Required
<% connection.utility %>			<% connection.retailer.retailer_name %>	<% connection.connection_date %>

Disconnections

Utility		Account Number	Supplier	Required
<% connection.utility %>		<% connection.account_number %>	<% connection.retailer.retailer_name %>	<% connection.connection_date %>

NOTE: Please ensure above details match your current account(s) and that you have arranged for clear access to the meter.

Applicant Details

Primary Contact

Name:

<% primary_contact_name() %>

Email:

<% format_display_value(track_order.who.primary_contact.email) %>

Prefered Contact Number:

<% format_display_value(primary_phone_preference) %>

Date of Birth:

<% track_order.who.primary_contact.date_of_birth %>

Identification:

<% track_order.who.primary_contact.id_number %>

Secondary Account Holder

Name:

<% secondary_contact_name() %>

Email:

<% format_display_value(track_order.who.secondary_contact.email) %>

Prefered Contact Number:

<% format_display_value(track_order.who.secondary_contact.phone_preference) %>

Date of Birth:

<% track_order.who.secondary_contact.date_of_birth %>

Identification:

<% track_order.who.secondary_contact.id_number %>

No secondary contact has been entered.

Concession Details

Concession Type:

<% track_order.who.concession.concession_type %>

Number:

<% track_order.who.concession.concession_number %>

Expiry Date:

<% track_order.who.concession.concession_expiry %>

Business Information

Company Name:

<% track_order.who.business_contact.business_name %>

Trading Name:

<% track_order.who.business_contact.business_trading_name %>

N/A

ABN:

<% track_order.who.business_contact.business_abn %>

Primary Contact

Name:

<% primary_contact_name() %>

Email:

<% format_display_value(track_order.who.primary_contact.email) %>

Prefered Contact Number:

<% primary_phone_preference %>

Date of Birth:

<% track_order.who.primary_contact.date_of_birth %>

Identification:

<% track_order.who.primary_contact.id_number %>

Address Details

Connection Details

No connection address has been entered.

Address:

<% move_in_address %>

Bill to be sent to:

Disconnection Details

No disconnection address has been entered.

Address:

<% move_out_address %>

Connections

Utility		Supplier	Required	Status
<% connection.utility %>		<% connection.retailer %>	<% connection.required %>	<% connection.status %>

Disconnections

Utility		Supplier	Required	Status
<% connection.utility %>		<% connection.retailer %>	<% connection.required %>	<% connection.status %>

Explicit Informed Consent History

You have been provided with and agreed to regulatory information on the following occasions

Utility		Date	Time
				View Regulatory Document

Campaign Title

Thank you!

Your credit request has been received. Credits are processed weekly (Friday) and may take five business days to be received by your retailer. Please note any credit requests received after 6:00pm AEST Thursdays will fall into the next weekly cycle.

Your credit request has been already processed and deposited into your nominated account. Please contact us if you have not received your account credit within 5 days.

Click here for full terms and conditions.

Loading. Please Wait...

This can take a few moments

Do not refresh the page or close this window

$50

New Application

<% $root.agent_preferences.welcome_text %> Welcome

<% $root.agent_preferences.welcome_text %> Welcome

Connect New Address

Connect & Close

Close Accounts

Who are we?

How does it work?

Ready to get started? Begin by selecting one of the options below:

Customer Application Delivery

Application Details

Review & Submit

Application Verification

Ready to connect?

OR

Please remind me!

Thank you!

The simple way to get connected.

Remember: Enter your promo code to receive a $50 credit to your account upon connection.

This is the telco page

<% plan.name %>

Summary view goes here

Connection Address A valid connection address has not been entered. <% movein_status_title %>

Disconnection Address A valid disconnection address has not been entered. <% moveout_status_title %>

Disconnection Address <% moveout_status_title %>

Required Utility & Communication Services (if known)

Move in date (if known)

Utilities & Communications <% status_title %>

Utility Selection

Connect Services

<% utility_header(utility_type) %> SupplyConnection - if required Add an <% utility_type %> Connection Add a <% utility_type %> Connection Connecting to <% selected_retailer_name(utility_type) %> on <% format_connection_date(utility_type) %>

Local Water Supplier

Is the power active/working at the property?

Telstra Products - if required Add a Telstra Connection

Disconnect Services

<% utility_header(utility_type) %> Please Select

Do you need to disconnect <% utility_type %>?

Telstra Products - if required

small

40 GB Data

$55 per month

With $0 activation fee

medium

80 GB Data

$65 per month

Critical Information Summary

large

120 GB Data

$85 per month

Critical Information Summary

X-Large

180 GB Data

$115 per month

Critical Information Summary

Secondary Contact Information

Secondary Contact - If Required

Primary Contact Information Secondary Contact Information Contact information for <% status_title %>

<% contact_type_title %> Business information for <% status_title %>

Life Support

Life Support Equipment and Fuel Type

Applicant Details Edit

Address Details Edit

Connections Edit

Disconnections

Disconnections

Terms and Conditions

Acknowledgements

Tariff

Access

Victorian Energy Fact Sheets Basic Plan Information

<% product_item.product_item_name %>

Credit Check

Your explicit informed consent to proceed

All Set?

Offers & Marketing

Agent Order Confirmation

^$50

Connection Address

A valid connection address has not been entered. <% movein_status_title %>

Disconnection Address

A valid disconnection address has not been entered. <% moveout_status_title %>

Disconnection Address

<% moveout_status_title %>

Utilities & Communications

<% status_title %>

<% utility_header(utility_type) %> SupplyConnection - if required Connecting to <% selected_retailer_name(utility_type) %> on <% format_connection_date(utility_type) %>

Telstra Products - if required

^$55 per month

With ^$0 activation fee

^$65 per month

^$85 per month

^$115 per month

Primary Contact Information Secondary Contact Information

Contact information for <% status_title %>

<% contact_type_title %>

Business information for <% status_title %>

Address Details
Edit