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Application for air conditioning rebate form

If you have any questions, please contact us on 1800 267 926.

*6 digit number
*This may be the case where your electricity amount is provided by property owner/agent.

I, the undersigned, authorise the Western Australian Office for Seniors Interests and Volunteering, Centrelink and the Department of Veterans’ Affairs and their agents to disclose to Horizon Power and its agents all such information as is reasonably necessary to confirm my eligibility to a valid concession card, for the purpose of satisfying Horizon Power as to my eligibility to receive the air conditioning rebate and other rebates if applicable. I confirm that air conditioning is in operation at the address on my Horizon Power account to which electricity is supplied, and this address is my principal place of residence. I agree that I will notify Horizon Power in writing immediately, of any changes of circumstances affecting my eligibility for the rebates, including the expiry of any concession card. I acknowledge that this authority will remain valid unless revoked by me in writing.