Aurora Energy home page

Online forms

Pensioner & Health Care Card discount application form - Step 1 of 2

First name
Surname
Street address
Suburb
Postcode
Email
Daytime telephone number

Please indicate the type of card held



Customer Reference Number
(Appears on your card)
Date of grant
(Appears on your card)

Terms and conditions:
  • I am the customer responsible for the payment of electricity accounts or purchase of PAYG credits at the above address
  • The above address is my principal residence
  • Client confirmation:
    • I authorise Centrelink to confirm with Aurora Energy the current status of my Commonwealth Benefit. This involves electronically matching details I have provided to Aurora Energy with Centrelink or Dept of Veteran Affairs (DVA) records to confirm whether or not I am currently receiving a Centrelink or DVA benefit.
    • I understand that this consent is effective only for the period I am a customer of Aurora Energy. I also understand that this consent, which is ongoing, can be revoked any time by giving notice to Aurora Energy.
    • I understand that if I withdraw my consent, I may not be eligible for the concession on electricity charges.
 

back to top

Manage your account online, it's simple and quick, 24 hours a day, 7 days a week

Login

Forgotten your password?
Login help

Not registered?

Register Now