You can apply for yourself or on behalf of someone in your household by downloading and completing the 111 Contact Code application form. Once completed, return it to us via email at data.admin@pulseenergy.co.nz or by post to Po Box 10044, Auckland 1446. The form must be filled out by the account holder or an authorized representative.
After we receive your application, we will review the information and notify you if you qualify for coverage under the 111 Contact Code. If you do qualify, we will add you to our 111 Contact Code register and provide you with an appropriate device to ensure you can make 111 calls (such as a mobile phone capable of calling 111 or a battery backup).
What information do I need to provide to support my application?
To support your application, you can either provide sufficient evidence demonstrating why you (or the person you're applying for) are at particular risk of needing the 111-emergency service, or you can nominate someone we can contact to verify the circumstances.
Examples of acceptable evidence include:
- A completed Electricity Authority ‘Notice of Potential Medically Dependent Consumer (MDC) Status’ form, certified by a District Health Board (DHB), private hospital, or GP (available on their website).
- A protection order.
- A letter from a health practitioner (e.g., a GP).
- Documentation of impairment (e.g., an ID card).
The nominated person must hold a profession that qualifies them to assess whether you (or the person on whose behalf you are applying) are at particular risk of requiring 111 emergency services. We recommend discussing the application with the nominated person before submitting it.
If you have any questions regarding the form or the 111, Contact Code, please reach out to us at 0800 473 976. Alternatively, you can contact the Commerce Commission at contact@comcom.govt.nz or call their Enquiries team at 0800 943 600.
DOWNLOAD APPLICATION FORM HERE
Please return the completed form to us via email or post to:
Po Box 10044,
Auckland 1446
It can take up to 10 business days to process an application once we receive it. Once we have completed that we'll be in contact with you to let you know the outcome.