Required fields are marked with an asterisk (*).

Before you begin, please enter your first name and email under user details. This allows you to save your form at any point using the SAVE and EXIT button at the bottom of the page. You'll be emailed a link to come back to complete your form later if needed.

User details

First Name *

Email *

Organisation details

Exemption holder name *

ABN *

Exemption class *

Do you operate/hold multiple exemptions for other sites in Queensland? *

-- Please Select --YesNo

AER reference (if registered)

Number of residential electricity customers in Queensland *

Location of network/site address *

Suburb *

State *

-- Please Select --Australian Capital TerritoryNew South WalesNorthern TerritoryQueenslandSouth AustraliaTasmaniaVictoriaWestern Australia

Postcode *

Website (if applicable)