Claim Form

Online appliance claim

This form can be used to claim rebate on purchase of efficient appliances - clothes dryer, TV, fridge or freezer

To complete the claim you will need

- Purchase invoice for eligible product

- Latest gas bill - within past 3 months (induction cooktops only)

- Picture of the appliance installed in your house

- Picture - close up on brand/model sticker

Please read the conditions below before uploading. After the upload we will verify the information and advise you of the outcome. Note, retrospective rebates for purchases in one calendar year can be claimed by 30 June of the following year. Quantity limits apply for residential premises only.

Conditions - Clothes dryers

- Must be listed on GEMS register (click here)

- Minimum 7.0 stars, minimum 5kg capacity

- Not part of a combination washer-dryer

- Limit 1 per household

Conditions - TVs

- Must be listed on GEMS register (click here)

- Minimum 6.0 stars, minimum screen area 4000 sq cm

- Limit 2 per household

Conditions - fridge or freezer

- Must be listed on GEMS register (click here)

- Volume between 250 and 700 L

- Minimum 5.5 stars (fridge) and 4.0 stars (freezer)

- No qty limit

Conditions - induction cooktop

- Has a cooktop surface of at least 550mm wide and 380mm deep

- Has a cooktop surface with a minimum of 3 independently controlled cooking zones.

- House no less than 2 years old

- Gas bill within past 3 months

- Not a plug-in

- Limit 1 per household

As the energy consumer, you own the rights to create certificates for energy saving activities undertaken at your premises under the Victorian Energy Upgrades program. One certificate represents one tonne of carbon dioxide equivalent (CO2-e) to be reduced by the activity. You are able to assign your right to create certificates to an accredited provider under the Victorian Energy Upgrades program. In assigning your right, the accredited provider will be entitled to create and own the certificates for the activity undertaken at your premises. In return, the accredited provider should provide you with an identifiable benefit (e.g. price reduction on a product, free installation or a cash-back arrangement). You are responsible for ensuring you are satisfied with the terms of the assignment of certificates to Homelab, the accredited provider (as detailed below) prior to proceeding with the activity. If you experience any issues with the outcome of this activity, you should contact Homelab (1300 781 614) to resolve the matter. For any outstanding issues, you can contact program staff members at the Essential Services Commission, the government body responsible for administering the program, by sending an email to veu@esc.vic.gov.au.

As the energy consumer, you own the rights to create certificates for energy saving activities undertaken at your premises under the Victorian Energy Upgrades program. One certificate represents one tonne of carbon dioxide equivalent (CO2-e) to be reduced by the activity. You are able to assign your right to create certificates to an accredited provider under the Victorian Energy Upgrades program. In assigning your right, the accredited provider will be entitled to create and own the certificates for the activity undertaken at your premises. In return, the accredited provider should provide you with an identifiable benefit (e.g. price reduction on a product, free installation or a cash-back arrangement). You are responsible for ensuring you are satisfied with the terms of the assignment of certificates to Homelab, the accredited provider (as detailed below) prior to proceeding with the activity. If you experience any issues with the outcome of this activity, you should contact Homelab (1300 781 614) to resolve the matter. For any outstanding issues, you can contact program staff members at the Essential Services Commission, the government body responsible for administering the program, by sending an email to veu@esc.vic.gov.au.

Limits apply in residential sector. Click here for information about the rebate, performance requirements, evidence etc

First name

Phone

Street address

Last name

Suburb/Town

Postcode

Retailer name

Retailer phone

Retailer address

Brand

Date delivered required

Model

Amount of benefit

Declaration by consumer

- I am the energy consumer or I have been authorised to assign the right to create Victorian energy efficiency certificates (VEECs) on behalf of

the owner of the right to create certificates. I have provided proof of this authority
- the above entity is the tenant/landlord/owner (please circle as appropriate) of the premises at the above installation address
- the information provided by the installer in Section 2 is correct and complete
- I confirm that the above activity was not undertaken at a scheduled activity premises listed on the Essential Services Commission’s Register of

Scheduled Activity Premises on the VEU Registry. If undertaken at a scheduled activity premises, I declare that the appropriate notification of

intention to undertake prescribed activity has been made to the commission
- I understand that by signing this form I am assigning the right to create certificates for the installation to Homelab
- I have received an identifiable benefit from Homelab in exchange for assigning my rights to create certificates for the above installation
- the Essential Services Commission has the right to inspect the installation with reasonable notice
- the installation meets my expectations, as the energy consumer, and is fit for purpose
- I understand that information on this form will be disclosed to the Essential Services Commission for the purpose of creating certificates under

the Victorian Energy Efficiency Target (VEET) Act 2007and for related verification, audit and program monitoring purposes
- I am aware that penalties can be applied for providing misleading information in this form under the Victorian Energy Efficiency Target (VEET)

Act 2007

- I am the energy consumer or I have been authorised to assign the right to create Victorian energy efficiency certificates (VEECs) on behalf of    the owner of the right to create certificates. I have provided proof of this authority - the above entity is the tenant/landlord/owner (please circle as appropriate) of the premises at the above installation address   - the information provided by the installer in Section 2 is correct and complete - I confirm that the above activity was not undertaken at a scheduled activity premises listed on the Essential Services Commission’s Register of    Scheduled Activity Premises on the VEU Registry. If undertaken at a scheduled activity premises, I declare that the appropriate notification of    intention to undertake prescribed activity has been made to the commission - I understand that by signing this form I am assigning the right to create certificates for the installation to Homelab  - I have received an identifiable benefit from Homelab in exchange for assigning my rights to create certificates for the above installation - the Essential Services Commission has the right to inspect the installation with reasonable notice - the installation meets my expectations, as the energy consumer, and is fit for purpose - I understand that information on this form will be disclosed to the Essential Services Commission for the purpose of creating certificates under    the Victorian Energy Efficiency Target (VEET) Act 2007and for related verification, audit and program monitoring purposes - I am aware that penalties can be applied for providing misleading information in this form under the Victorian Energy Efficiency Target (VEET)    Act 2007

Sign *

Date signed required

By signing you acknowledge that you have read, understood and agree with the information and declaration in this form and that information you provided is true and correct. You also agree that you may be contacted by Homelab or VEU auditors to verify details of this form or provide further information.

I am aware of my consumer rights under VEU scheme

Download VEU fact sheet

Upload picture of installed product

Upload close-up of brand & model

Upload purchase invoice

Optional comment

Upload latest gas bill