Change Existing Connection

Use this form when you want to increase load / capacity of your existing connection OR remove, replace / repair an existing asset.

An application fee of $100 is required before your application is processed. You can pay the application fee at any of our offices, or by online banking into account number 02-0332-0011638-00 using your name as the payment reference. We do not accept credit card payments.

You will receive a quote within 10 days.

Applicant Details

Full Name *

Business Name

Name or business to go on the quote:

Billing Address *

Country

City

Zip code

Contact phone number 1 *

Contact phone number 2

Email *

Billing email address (if different from above)

Site Details

Physical Address *

Country

City

Zip code

Title number

Lot number

Property name

Electrical Contractor

Name *

Company

Contact number 1 *

Contact number 2

Connection Details

Please indicate what needs to be done

Increase Load

Phase

Amps

Asset remove / replace / repair

Details of what needs to be done

Upload image here

Upload your image or sketch of location (required for asset repair / replace / removal)

Please identify:
– the location of your property
– any existing electricity supply
– where electricity supply is required
– property boundaries
– nearby road names
– direction of nearest township
– any other useful landmarks

Terms

I have read and agree to the terms.

Click here to read the terms.

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If you prefer, you can Download a printable application form and bring the completed form into our office, or send it to us by email at ciw@topenergy.co.nz