Help & Support

Life Support

Notification of Installation/Removal of Life Support Equipment

South Australians will need to fill in the following form

Please enter in your customer number, shown at the bottom of your bill.
Your National Meter Identifier (NMI) which can be found on your bill.

Personal Details

What is the physical service connection address?


By completing this form you accept that:

Simply Energy and ETSA Utilities will share the relevant information about you and your supply address for the purposes of updating their records and registers.

You agree to inform Simply Energy and ETSA Utilities if the person for whom the Life Support Equipment is required vacates the supply address or no longer requires the Life Support Equipment. You acknowledge that registering as a life support address does not guarantee supply and in particular your supply will still be subject to outages due to storms, accidents or other circumstances beyond ETSA's and Simply Energy's control.

I have read and accept the terms and conditions for Installation/Removal of Life Support Equipment

I understand this request will not be processed until I send Simply Energy a certificate from my Medical Practitioner or Hospital that certifies my name, supply address and the fact that I require Life Support Equipment installed at the property.

Please address your medical certificate to PO BOX 210 Balwyn 3103