Add Alternative Contact or Support Person

Alternative Contact or support person details

You can ask us to communicate with you using an alternative contact person if you prefer. This could be a family member, friend, support person, or community worker.

Ask this person first, if they agree, you can tell us their name and contact details by entering their details below. We will confirm with your named alternative contact person that they agree to fulfill this role.

Once this is settled, if we can’t talk to you as the account holder, we will work with your alternate contact to make sure that you understand what is happening with your electricity bills and what payments you need to make.

account holder Details

* Indicates required field

I wish to: *

Add an ALTERNATIVE CONTACT person Add a SUPPORT person

Your Account Number or Recent Invoice Number *

Your Name *

First

Last

Your Account Name *

First

Last

Your Email *

Your Supply Address *

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Line 2

City

State

Zip Code

Country

aLTERNATIVE CONTACT PERSON DETAILS

Alternative Contact Name *

First

Last

Alternative Contact Email *

Alternative Contact Postal Address *

Line 1

Line 2

City

State

Zip Code

Country

Alternate Contact Number (home) *

Alternate Contact Number (work) *

Alternate Contact Number (mobile) *

Alternate Contact Preferred Form of Contact *

Alternative Contact Unsuitable Forms of Contact if Applicable *

Alternative Contact Preferred Days and Times to be Contacted if Applicable *

Alternative Contact Unsuitable Days and Times to be Contacted if Applicable *

SIGNED BY THE ACCOUNT HOLDER
I AGREE THAT AS MY NOMINATED ALTERNATIVE CONTACT/SUPPORT CONTACT, THE PERSON LISTED ABOVE HAS PERMISSION TO CORRESPOND WITH SMART BILLING SOLUTIONS REGARDING ALL NECESSARY ELEMENTS OF MY UTILITY ACCOUNT. I ALSO CONFIRM THAT I HAVE OBTAINED PERMISSION FROM THE PERSON ABOVE TO NAME THEM AS MY ALTERNATIVE CONTACT/SUPPORT CONTACT.

E-Signature *

Date Signed *

Submit