All fields required unless indicated as optional.
Don't forget to enter your Synergy account number. You'll need to add this to continue.
Please provide your 8 to 12 digit Synergy account number located on the top left of your bill.
We will need your Synergy account number for this request. You'll find your account number at the top right of your bill or from the email.
Don't forget to enter your business name. You'll need to add this to continue.
Don't forget to enter your first name. You'll need to add this to continue.
Eek. There's some unexpected characters here. You can only add letters, apostrophes, hyphens or spaces.
Don't forget to enter your last name. You'll need to add this to continue.
Don't forget to enter your ABN/ACN. You'll need to add this to continue.
Uh oh, please enter your 11 digit ABN or 9 digit ACN.
Don't forget to enter your date of birth. You'll need to add this to continue.
Don't forget to enter an email address. You'll need to add this to continue.
Please enter a valid email address (e.g. yourname@example.com).
Don't forget to enter your contact number. You'll need to add this to continue.
You'll need to enter a 10 digit phone number. If you have a landline, please ensure the area code is included.
If you're adding a landline, don't forget the 2 digit area code. If you're adding a mobile number, it's 10 digits starting with 04.
Don't forget to select your property address. You'll need to enter your address and then select from the list of results displayed.
Please attach a document.
To upload payment evidence, please select a file first and then select Upload button. All form of payment confirmation or statement must be provided in a non-editable format such as copy of transaction statement issued from financial institution. Word documents, Excel spreadsheets, personal ledgers are not accepted. The total file size for all documents must be less than 20MB. Allowed file types: PDF, JPG, PNG.
Allowed file types: PDF, JPG, PNG
File must be less than 10 MB.
Uh oh. You'll need to agree to our Terms & Conditions to complete your request.
* One or more form fields contains errors, please fix the appropriate fields and try again.