EAPA Enquiry Form | Hornsby Salvation Army | The Salvation Army Australia

What is EAPA

EAPA can help you pay for your current residential electricity or gas bills if you're in short-term financial hardship, crisis or emergency and is a NSW Government Program.

If you are needing assistance please complete the form below and one of our team will be in contact with you regarding an assessment.

While you wait

After you have completed the enquiry form, you should call your energy provider straight away to let them know you have applied for EAPA.

Your energy provider cannot disconnect you while you’re waiting to be assessed for EAPA.

You can also ask them what assistance they can offer you, such as payment options, switching energy plans, or starting a hardship plan

N.B - EAPA cannot be applied to any overdue or carried forward balances.

First Name: *

Last Name: *

Email Address: *

Contact No:

Date of Birth: *

Do you Consent to the above Privacy Policy for the purposes of this enquiry: *

Is your bill currently overdue: *

What was the due date of your bill?: *

Have you contacted your provider and asked for an extension: *

Who is your Gas / Electricity Provider:

Are you currently Experiencing Financial Hardship?: *

What is the nature of your financial crisis?: *

Please upload supporting documentation for Financial Hardship i.e Bank Statement / Invoice / Receipt: *

Please attach a copy of the original Gas / Electricity Bill (in full): *

If you receive a Centrelink Payment please attach your latest Statement: *

* Required field

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