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Concession card discount application form

Use this form to apply for the electricity discount on your residential account.
Customers who hold one of the following cards may be eligible

  • Pensioner Concession Card
  • Health Care Card
  • Veteran's Affairs Concession Card
  • ImmiCard (Bridging Visa E)
  • Tasmanian Concession Card (Community Detention)

Please note: fields marked with * are required.
 



Your details

 

Type of card

Please indicate the type of card held *

 

Appears on your card

Consent, 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
  • Consent to collect and confirm eligibility details

    I authorise each of Centrelink, the Commonwealth Department of Veterans' Affairs, the Commonwealth Department of Immigration and Border Security, and the Tasmanian Department of Premier and Cabinet, to provide to Aurora Energy and the Tasmanian Department of Treasury and Finance (State Revenue Office) with any personal information relating to me that is relevant to establishing my entitlement to receive, or to continue to receive, the Annual Electricity Concession. I further authorise Aurora Energy and the Tasmanian Department of Treasury and Finance (State Revenue Office) to disclose details of this application to Centrelink, the Commonwealth Department of Veterans' Affairs, the Commonwealth Department of Immigration and Border Security, and the Tasmanian Department of Premier and Cabinet in connection with verifying my entitlement to receive, or to continue to receive, the Annual Electricity Concession.

    I understand that this consent, once agreed to, is effective only for the period that I am a customer of Aurora Energy. I also understand that this consent, which is ongoing, can be revoked at any time by giving notice to Aurora Energy. I understand that if I withdraw my consent, I may not be eligible for the concession provided by the Tasmanian Government via Aurora Energy.

Privacy statement

Aurora Energy and the State Revenue Office are collecting this personal information for the sole purpose of assessing your eligibility for an electricity concession. The information collected on this form is deemed personal information for the purposes of the Personal Information Protection Act 2004. Without this information, your application for the concession will not be able to proceed. You are able to request access to the personal information held about you, and to request it be corrected if necessary, by contacting Aurora Energy.