Facilities access - third party installations form

Complete the enquiry form below if you want to become a Rated Accredited Service Provider for shared asset installation work. We facilitate third party access to our existing network assets for telecommunications technologies to benefit our customers and the wider community.

Once your enquiry is submitted, our Facilities Access Team will contact you to start the application process.

Please note: A fee is applicable for the processing and evaluation of applications.

View our Privacy Statement regarding the collection of data.

Fields denoted with * are mandatory.

Contact details
Please enter as a 10 digit number with no spaces, eg 0738516000
Please enter as a 10 digit number with no spaces
Enquiry details
Please select the type(s) of work you are interested in: *
Please enter any additional comments

Privacy Statement

Energex is collecting your personal information on this form for the purpose of responding to your Accredited/Authorised Service Provider enquiry. If you do not provide all of the personal information requested we may not be able to respond to  your enquiry. Your personal information will not be disclosed to third parties, unless you consent or it is authorised or required by law. If you wish to access your personal information or make a privacy complaint, please contact the Privacy Officer via Energex's privacy webpage.