Schedule 11.6
Forms
for authorisation of an Agent to request consumption information
Schedule 11.6 inserted, on 1
March 2020, by clause 7 of the Electricity Industry Participation Code
Amendment (Requirements and Processes for Information Requests by Agents) 2020.
Form 1: Form for authorisation by an individual
(being a natural person)
Consumer: [Consumer full name]
Property: [property address (es)]
Customer number[1]:
[customer number]
Installation Control Points (ICP(s))
Identifier(s): [List all ICPs]
Retailer: [name of Retailer]
Agent: [full name of Agent and contact
details]
Period of authority: [enter period of
authorisation to Agent]
I (being the Consumer named above)
confirm that I own or occupy the Property identified above (or owned or
occupied that property at the relevant time) or otherwise am or was responsible
for the consumption of electricity at the Property.
I confirm that I am or have been a
customer of the Retailer identified above in relation to the Property and
ICP(s) identified above.
I authorise:
(a)
the Agent identified above to request, receive
and hold information on my behalf about electricity consumption for the Property
or the ICP(s); and
(b) the Retailer
to transfer information on my behalf about electricity consumption for the
Property or ICP(s) to the Agent.
[Signature/electronic signature of
Consumer or of a person on behalf of the Consumer (in which case, evidence of
that person’s authority to sign on behalf of the Consumer is required) or other
evidence of Consumer’s agreement]
Form 2: Form for authorisation by a non-individual
(not being a natural person)
Consumer: [Consumer full name]
Authorised Representative of Consumer:
[Full name and title/position with Consumer]
Property: [property address (es)]
Customer number[2]:
[customer number]
Installation Control Points (ICP(s))
Identifier(s): [List all ICPs]
Retailer: [name of Retailer]
Agent: [full name of Agent and contact
details]
Period of authority [enter period of
authorisation to Agent]
The Consumer identified above owns or
occupies the Property identified above (or owned or occupied that property at
the relevant time) or otherwise is or was responsible for the consumption of
electricity at the Property.
The Consumer is or has been a customer
of the Retailer identified above in relation to the Property and, ICP(s)
identified above.
The Consumer authorises:
(a) the Agent identified above to request, receive and
hold information on the Consumer’s behalf about electricity consumption for the
Property or the ICP(s); and
(b) the Retailer to transfer information on the
Consumer’s behalf about electricity consumption for the Property or ICP(s) to
the Agent.
In signing this form as the Authorised
representative of the Consumer, I warrant that I am authorised to sign this
form and agree to the matters above on behalf of the Consumer.
[Signature/electronic signature of
Authorised Representative].