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.

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)

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?

Was you appliance delivered, or collected from store at the time of sale?

Delivered

Collected

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

Max. file size: 128 MB.

-Proof of purchase: can't accept a screenshot or extract from an email, must be a valid tax invoice - 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 delivery docket or proof of delivery- APP1A - Fridge Freezer(Required)

Max. file size: 128 MB.

-Proof of delivery: we can accept any piece of evidence which has the delivery date on it, including screenshots, email extracts, et -Provided a delivery summary, order summary, or other document confirming the delivery has been complete

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)

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?

Was you appliance delivered, or collected from store at the time of sale? (APP1B)

Delivered

Collected

Upload delivery docket or proof of delivery- APP1B - Freezer(Required)

Max. file size: 128 MB.

Upload Proof of Purchase - APP1B - Freezer(Required)

Max. file size: 128 MB.

-Proof of purchase: can't accept a screenshot or extract from an email, must be a valid tax invoice - 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)

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?

Was you appliance delivered, or collected from store at the time of sale? (APP1D)

Delivered

Collected

Upload delivery docket or proof of delivery- APP1D - Dryer(Required)

Max. file size: 128 MB.

-Proof of delivery: we can accept any piece of evidence which has the delivery date on it, including screenshots, email extracts, etc. -Provided a delivery summary, order summary, or other document confirming the delivery has been complete

Upload Proof of Purchase - APP1D - Dryer(Required)

Max. file size: 128 MB.

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

Max. file size: 128 MB.