Application for drought relief from electricity charges

This application form is for customers in South East Queensland.

Regional customers can apply to Ergon Energy for drought assistance.

Regional customers can contact Ergon Energy on 13 10 46.

Please read the terms and conditions before submitting this application form.

Required fields are marked with an asterisk (*).

Applicant details

If you registered as a business you must provide your Australian Business Number (ABN) and GST status

Property details

Tariff details

Electricity account details

You must provide a copy of your electricity bill

Proof of payment (optional)

Fees

Provide the fees you are entitled to be reimbursed for. Enter each figure with a decimal point between the dollar and cent values.

Bank account details

Provide details for the account you would like your rebate paid into.

Declaration and agreement

I am the farmer of a property which is individually drought declared or within a drought declared area, and do not have water to pump or severely restricted access to water.

I have read the Terms and Conditions

If you are having problems completing this form phone the Drought Assistance team on 13 43 87.