Residential Joining Form

Supply Address
Time at address*

I want to switch from another retailerI have recently moved inI'm planning to move in soon
When did you move?

DayMonthYear
When are you moving?

DayMonthYear
Building Name
Unit / Level
Address*
Can we send mail to this address?

YesNo
Postal Details
Postal Address

Postal Address Line 1 (PO Box number or Street Number and Name)

Postal Address Line 2 (Suburb)

Postal Address Line 3 (City)Postal Region

Post Code / Zip Code

Medical Dependancy & Vulnerability
Is anyone in your property vulnerable or dependent on electricity for critical medical support?*

YesNo
Please provide details
Please Note

Supply of electricity to your property may be interrupted by incidents outside our control such as severe weather or line damage. If you are medically vulnerable and require uninterrupted supply please contact your GP, DHB or relevant medical specialist.

The Electricity Commission defines vulnerability as follows:

if for reasons of age, health or disability, the disconnection of electricity to the customer (or anyone living at the same property as the customer) presents a clear threat to the health or wellbeing of any of them; or

it is genuinely difficult for the customer (or anyone living at the same property as the customer) to pay his or her electricity bills because of severe financial instability (including because of low income), whether temporary or permanent.

The Electricity Commission defines being dependent on electricity for critical medical support as follows:

where loss of mains electricity to the customer (or anyone living at the same property as the customer) may result in loss of life or serious harm. This could include the use of mains electricity for medical or other electrical equipment needed to support the treatment regime, e.g. a microwave to heat fluids for renal dialysis.

Payment options

Switch Utilities requires payment to be made via a Dirtect Debit arrangement.
Select payment method*

Direct DebitDirect CreditChequeDebit CardCredit CardThird Party (we will contact you for further information)
Setting up a Direct Debit

Please fill in your account details below or CLICK HERE to download a hard copy.
Name on Account*
Name of Authorised Account Signatory (if different form Account Name)
Select Bank (please select)*
Bank Account Number
Please enter bank account number
Bank Postal Address
Store/Branch*