Request to remove a Smart Meter

How to use this form

Kindly complete the form below, adhering closely to the instructions provided for each field to ensure accuracy. Once finished, submit it, and you will receive an email with a PDF attachment containing the completed form. Print the required number of copies, autograph / sign them, or arrange for autographs/ signatures, and dispatch them via registered post for optimal processing.

Smart Meter - Removal Request

The letter is a formal request for the removal of a previously installed digital smart meter due to health concerns. It demands the installation of either an analogue meter or a "type 4A" meter, referencing the AEMC ruling from March 21, 2019, which allows metering coordinators to deactivate smart meter communications. It emphasizes the need for prompt action to address the issue.

We will also supply you with an image you can print and stick to the meter box "Warning - No Entry to fit electronic smart meter"

Your Personal Information

Here you need to enter the strawman version of your name:

First and Middle Name (in uppercase, no hyphen)

Last name (in uppercase)

Here you need to enter the living man / woman version of your name:

First-Middle Name (use "dash" to join names)

of the house of Surname (or what your exact registration reads)

Email

This is the account details and address you receive your bills for your electricity supply:

Account Number

Account Name (exactly as on the invoice)

Billing Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Corporation Information

Corporation Name

Department

Address Line 1

Address Line 2

City

State

Zip Code

Country

Date of sending this letter

This is the address where the smart meter is installed:

Supply Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Donation

Thank you for your contribution, it helps us keeping the costs for establishing and running this resources for you going.

Office Use Only

Contribution (min $5)

Pay with Credit / Debit Card

Credit Card Processing Fee (1.7% + 30 cents)

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