Appliance Purchase Rebate Application

You will be prompted to add in some documents or photographs of documents. Please make sure you have the following documentation before you start filling your application:

Address evidence (Photo of drivers licence or a utility bill).
Evidence of your priority group status.
Retailer details (Name, ABN, Phone number).
Appliance details (Brand, Model, date of purchase).
Proof of purchase.
Photo of the new appliance in your home/business.

Once you have confirmed your appliance is eligible for a rebate via the Check Rebate Form, you will need to fill in the below form with all details that are required.

Step 1 of 25

Customer Details

Name(Required)

First Last

Phone(Required)

Email(Required)

Address(Required)

Street Address Suburb State Post Code

Do you consent to providing evidence of your Address?(Required)

Yes

This can be Drivers License or a Utility Bill. Why do we ask for this? This for us to cross check that the delivery address of the appliance and claim matches and to prevent false and fraudulent claims.

Thats ok - YESS are required field audit a minimum of 5% of all REPS Claims we process. The field audit is a short, non-invasive visit from a member of the YESS team who will confirm that the appliance is installed for use at the address you've provided. Field audits are randomly selected on 5% of the rebate applications we receive or in instances where insufficient or unclear evidence from a customer is provided. If you were selected for a field audit, would you consent to the auditor visiting your premises?(Required)

Yes - Consent to field audit

No - I dont consent to field audit

Upload Address Evidence

Max. file size: 128 MB.

Hidden

Business Name

Hidden

ABN

Property Type(Required)

Owner-Occupied

Private Rental

Public Rental

Commercial

Is your rent under $400 per week?(Required)

$400 or less, per week

Over $401 per week

As your rent is $400 or less per week you are in a Priority Group Household. Select "has a residential tenancy agreement with the landlord of the premises and the rent for the premises if $400 or less per week" at the next step.

Priority Group Status(Required)

Not Priority Group (none of the above)

has a residential tenancy agreement with the landlord of the premises and the rent for the premises if $400 or less per week

holds a Commonwealth Government pensioner concession card

holds a TPI Gold Repatriation Health Card

holds a War Widows Gold Repatriation Health Card

holds a Gold Repatriation Health (EDA)

holds a Health Care Card (including a Low Income Health Care Card)

receives the South Australian government energy bill concession

is actively participating in an energy retailer hardship program

is actively participating in an energy retailer’s payment plan (offered and applied as per section 50 of the National Energy Retail Law)

has received a referral from a registered member of the South Australian Financial Counsellors Association (SAFCA)

Upload a photo of your concession card or proof of your Priority Group Status

Max. file size: 128 MB.

Hidden

Not Priority Group

Purchased Appliance Information

REPS Activity(Required)

APP1A FRIDGE OR FRIDGE FREEZER

APP1B FREEZER

APP1D - CLOTHES DRYER

APP1A - Fridge or Fridge Freezer

Was the fridge purchased online?(Required)

Yes

APP1A - Appliance Retailers Business Name(Required)

What is the business name of the retailer your purchased your appliance from?

APP1A -Appliance Retailers ABN(Required)

What is the ABN of the retailer your purchased your appliance from?

APP1A - Appliance Retailers Phone

APP1A - Appliance Retailer Online Webstore

Address - APP1A - Fridge Freezer(Required)

Street Address Suburb State Post Code

Provide the Address of the South Australian Business that you purchased your new appliance from

Date Appliance Purchased - APP1A - Fridge Freezer(Required)

DD slash MM slash YYYY

MUST BE PURCHASED IN 2022

APP1A- Appliance Purchased Brand(Required)

APP1A - Appliance Purchased Model Number(Required)

APP1A -Estimated Rebate(Required)

What was the estimated rebate you were given in step 1?

Upload Proof of Purchase - APP1A - Fridge Freezer(Required)

Max. file size: 128 MB.

- The item must have been purchased in SA or if purchased from an online retailer show proof of the appliances delivery to a SA address. -The item must have been purchase during 2022 -The proof of purchase must have the brand and model number, the details of the retailer you purchased it from and the date of purchase

Upload a photo of your new fridge in your home or business.(Required)

Max. file size: 128 MB.

APP1B - Freezer

APP1B - Appliance Retailers Business Name(Required)

What is the business name of the retailer your purchased your appliance from?

APP1B -Appliance Retailers ABN(Required)

What is the ABN of the retailer your purchased your appliance from?

APP1B - Appliance Retailers Phone

Provide the Address of the South Australian Business that you purchased your new appliance from

Address - APP1B - Freezer(Required)

Street Address Suburb State Post Code

Provide the Address of the South Australian Business that you purchased your new appliance from

Date Appliance Purchased - APP1B - Fridge Freezer(Required)

DD slash MM slash YYYY

MUST BE PURCHASED IN 2022

APP1B - Appliance Purchased Brand(Required)

APP1B- Appliance Purchased Model Number(Required)

APP1B -Estimated Rebate(Required)

What was the estimated rebate you were given in step 1?

Upload Proof of Purchase - APP1B - Freezer(Required)

Max. file size: 128 MB.

- The item must have been purchased in SA -The item must have been purchase in 2022 -The proof of purchase must have the brand and model number, the details of the retailer you purchased it from and the date of purchase

Upload a photo of your new freezer in your home or business.(Required)

Max. file size: 128 MB.

APP1D - Dryer

Was the dryer purchased online?(Required)

Yes

APP1D - Appliance Retailers Business Name(Required)

What is the business name of the retailer your purchased your appliance from?

APP1D -Appliance Retailers ABN(Required)

What is the ABN of the retailer your purchased your appliance from?

APP1D- Appliance Retailers Phone

APP1D - Appliance Retailer Online Webstore

Address - APP1D - DRYER(Required)

Street Address Suburb State Post Code

Provide the Address of the South Australian Business that you purchased your new appliance from

Date Appliance Purchased - APP1D- DRYER(Required)

DD slash MM slash YYYY

MUST BE PURCHASED IN 2022

APP1D- Appliance Purchased Brand(Required)

APP1D - Appliance Purchased Model Number(Required)

APP1D -Estimated Rebate(Required)

What was the estimated rebate you were given in step 1?

Upload Proof of Purchase - APP1D - Dryer(Required)

Max. file size: 128 MB.

- The item must have been purchased in SA or if purchased from an online retailer show proof of the appliances delivery to a SA address. -The item must have been purchase in 2022 -The proof of purchase must have the brand and model number, the details of the retailer you purchased it from and the date of purchase

Upload a photo of your new dryer in your home or business.(Required)

Max. file size: 128 MB.

Customer Declaration & Sign Off

CUSTOMER DECLARATION(Required)

I have purchased this appliance in South Australia for use at my home or business.

The appliance is installed and used at the address I have provided.

I have purchased this appliance new, not second hand.

The information I have provided in this form is true and correct.

I understand that this is an application to claim a Retailer Energy Productivity Scheme (REPS) rebate on an approved purchased appliance and is not a guarantee of rebate.

The supporting documentation I have provided has not been falsified or doctored in any way

I understand that if I am found to have provided false or misleading information in this application, I will be required to return all moneys provided to me by YESS.

I understand that I am solely responsible for the full cost of the appliance I have purchased, and that YESS have no obligation to provide a rebate on the appliance if the REPS claim cannot be successfully lodged.

I understand that each address is only eligible to claim each REPS rebate once; as such, if it is proven that a previous claim has been lodged at my address, I understand that I will not be eligible for the rebate.

I understand that the estimated value of the rebate is indicative only and my be subject to change upon YESS reviewing the information I have provided.

I understand the information recorded in this form will be provided to a licensed Retailer who will use such information to fulfil its obligations as required in the Retailer Energy Productivity Scheme (REPS).

I understand that YESS may need to request further information if the information I have provided is insufficient to validate the REPS claim.

I understand YESS Pty Ltd, ESCOSA, or a licensed Energy Retailer may contact me for the purpose of conducting quality assurance audits.

I understand that YESS Pty Ltd acting on behalf of an Energy Retailer has gathered this information for the purpose of complying with the Electricity Act 1996 and Gas Act 1997 and I authorise it to use and disclose information about me, in accordance with the Privacy Act 1988, to its related companies and other organisations that assist it for this and related purposes.

I acknowledge that I can access the YESS Complaints Policy and Procedure at www.yess.net.au/complaints. My complaints or enquiries regarding the services or products provided to me by YESS Pty Ltd in relation to the Retailer Energy Productivity Scheme can be lodged via the contact information provided on this form or in writing to the Operations Manager, 3/102 Greenhill Road, Unley SA 5061. For YESS Pty Ltd terms and conditions please visit: www.yess.net.au/terms-conditions.html

How did you find out about this rebate?(Required)

Facebook or Instagram Ad

Facebook Group

Energy Retailer

ESCOSA Website

Friend or Family Member

Google Search

Appliance Retailer

Return Customer

OzBargain

Other

Signature

Total Estimated Rebate

Unique ID APP1

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1300 894 745

Appliance Purchase Rebate Application