Insurance letter request form

Complete the form below if you need a letter from us to confirm a power outage at your premises for your insurance provider.

Please note: Your home and contents insurance policy may cover electrical-related damage (which can include storm events) to your property or appliances. In this case, you should direct your claim to your insurance company in the first instance.

Important Notice: Letters for Essential Services Hardship Assistance (ESHA) Grants for Ex-Tropical Cyclone Alfred

What is an ESHA grant?

The ESHA grant helps people who have lost one or more essential services (i.e. electricity, gas, water, or sewerage) at their home for more than 5 consecutive days due to a disaster.

Do I need to make a request for outage information from Energex or Ergon Energy if I have experienced a loss of supply for more than 5 consecutive days at my place of residence (main home, located within an eligible disaster area)?

No, you do not need to complete an Insurance Letter Request for outage data in support of your application for an ESHA grant. We have already provided and will continue to provide relevant customer outage data to the Department of Communities to assist with their administration of ESHA relief payments.

How do I apply for an ESHA grant?

Please apply directly with the Department of Communities, see https://www.qld.gov.au/community/disasters-emergencies/disasters/money-finance/types-grants/essential-serv-hardship-assist for eligibility criteria.

Please view our privacy statement regarding the collection of data.

Required fields are marked with an asterisk (*).

First name *

Last name

National Metering Identifier (NMI) The NMI is a 10 or 11 digit number that can be found on the premises power bill

Street address

Suburb/town

State

Postcode

Phone number Please enter your best business hours contact number as 10 digits with no spaces

Email address

Approximate Time & Date of the Incident

Time of the incident

Hour Minute

Date of incident Please select date or enter in format dd/mm/yyyy

Did the outage last for more than a few seconds?

Outage Details

Please include any additional details relating to the power outage

Insurance letter request form

Important Notice: Letters for Essential Services Hardship Assistance (ESHA) Grants for Ex-Tropical Cyclone Alfred

What is an ESHA grant?

Do I need to make a request for outage information from Energex or Ergon Energy if I have experienced a loss of supply for more than 5 consecutive days at my place of residence (main home, located within an eligible disaster area)?

How do I apply for an ESHA grant?

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