Community Smart Meter Rollout Consent Sheet
Community:
Address:
Account Number / Meter Number:
Customer Name:
Contact Number:
Purpose
Consent
I hereby give my consent for the installation of a Smart Meter at my premises.
I do not give my consent for the installation of a Smart Meter at my premises.
Remarks
Customer Name:
Signature:
Date:
For office use only:
Installation Date:
Technician/Installer:
Remarks: