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Payment claim form

Property details

Select one of the following options to verify your account.
Address will appear after your nmi or meter has been validated.
Customers with a connection less than 5.7KW are eligible to claim.
Your submeter number is found on your electricity bill.

Drop a file here or browse to upload

Allowed file types: JPG, PNG, PDF

Maximum upload size: 5 mb

Eligible claims are only payable in the name of the account holder at the effected premises.

Outage details

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We have highlighted all eligible outages for you to claim. Should you wish to dispute an outage that is marked ineligible or rejected, please click the available action button to change its status. 

info

We have highlighted all eligible outages for you to claim. Should you wish to dispute an outage that is marked ineligible or rejected, please click the available action button to change its status. 

Contact details

Enter only alphabets & spaces but limit it to 40 characters.
Enter only alphabets & spaces but limit it to 40 characters.
Numbers start with 0 and are 10 digits long.

Payment details

warning

Please be advised that payment delays may occur if inaccurate information is submitted for eligible claims.

warning

Please be advised that payment delays may occur if inaccurate information is submitted for eligible claims.

Enter only alphabets & spaces but limit it to 50 characters.
Incorrect number will result in non payment.
Remittance
You will be notified of remittance via the email you have provided.

Conditions of agreement
  • Western Power is under no obligation to verify the correctness of the bank account details. Should any of the above particulars alter, the claimant must complete and send a new application form to Western Power.
  • Western Power does not verify the authority of the claimant on the bank account details and accepts the authority of the claimant as conclusive evidence of authority to execute this agreement on behalf of the Synergy account holder.
  • Western Power will not be responsible for any delays in payment or error due to factors outside the reasonable control of Western Power including delays in the banking system.
  • Western Power reserves the right at any time to terminate or suspend this direct credit payment method and to pay by cheque or any other manner which Western Power may determine.
  • This authority supersedes all previous authorities.
     
Claim declaration
This Claim is made because the property in this application was affected by a power interruption of 12 hours or more in the last 60 days.
 
By submitting this form, I agreed that:
  1. I have read and agree to the extended outage payment scheme eligibility criteria and terms & conditions.
  2. I have not previously applied for payment for same outage at the same address.
  3. All the information provided is true and correct.
Remittance
You will be notified of remittance via the email you have provided.

Conditions of agreement
  • Western Power is under no obligation to verify the correctness of the bank account details. Should any of the above particulars alter, the claimant must complete and send a new application form to Western Power.
  • Western Power does not verify the authority of the claimant on the bank account details and accepts the authority of the claimant as conclusive evidence of authority to execute this agreement on behalf of the Synergy account holder.
  • Western Power will not be responsible for any delays in payment or error due to factors outside the reasonable control of Western Power including delays in the banking system.
  • Western Power reserves the right at any time to terminate or suspend this direct credit payment method and to pay by cheque or any other manner which Western Power may determine.
  • This authority supersedes all previous authorities.
     
Claim declaration
This Claim is made because the property in this application was affected by a power interruption of 12 hours or more in the last 60 days.
 
By submitting this form, I agreed that:
  1. I have read and agree to the extended outage payment scheme eligibility criteria and terms & conditions.
  2. I have not previously applied for payment for same outage at the same address.
  3. All the information provided is true and correct.