Electricity Move Out Form
Please note the power will be turned off within 1 - 72 hours of receiving this form.
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I Accept & Agree
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2 digit day, 2 digit month, 4 digit year
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Minutes
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AM/PM Option
Account Type
Customer Type
*
Please Select
Tenant
Owner
Commercial
Customer Number
*
6 digit number found on your bill
Have you signed up to another service provider while you where residing at Jade Residences?
*
Please Select
No
Yes
Previous Service Provider
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Valued Customer Details
Full Legal Name
*
Mr
Mrs
Miss
Dr
Prefix
First Name
Last Name
Trading Name
*
ABN/ACN
*
Unit Number
*
Address
*
Suburb
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Postcode
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State
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Country
*
Mobile Number
*
E-mail
*
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I.D
Personal Identification Type
Please Select
Drivers Licence
Proof Of Age Card
Passport
Pensioner's Card
Authentication Number
Date Of Birth
*
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Day
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Month
Year
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Important Questions Regarding Your Services
How did you first become aware of the Service Provider’s services?
I was contacted directly by the service provider.
I was informed by someone else (e.g., a neighbor, body corporate).
I discovered the service on my own.
When you were first approached by the Service Provider, how would you describe the experience?
I was given clear, transparent information and had the option to choose.
I felt pressured into signing up quickly.
I was told that signing up was mandatory for my building or property.
I wasn’t given enough information to make an informed decision.
Did you feel you had a choice in deciding whether to sign up to the Service Provider’s services?
Yes, I felt I had the freedom to decide.
No, I felt there was pressure or a lack of options.
I felt that signing up was the only option presented.
If you felt pressured, what form of pressure did you experience?
Direct pressure from Service Provider’s representatives.
Pressure from my building management or body corporate.
I was told that not signing up would result in negative consequences.
I didn’t experience pressure.
How satisfied are you with the decision to sign up to the Service Provider's services?
Very satisfied – I believe it was a good decision.
Somewhat satisfied – It has been okay, but I had doubts.
Not satisfied – I regret signing up.
I’m unsure or still figuring it out.
Did the Service Provider guide you through the process of leaving the Embedded network, and who was the Embedded Network Manager who made the transition?
Yes, I believe the transfer was automatic and no further action was needed.
No, there was no guidance.
Other
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Terms & Conditions
Have you read and aggreged to the terms and conditions
*
I Agree With The Above Terms & Condition
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Feedback
How was your experience?
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