First NameLast NameAddress (House Number, Street, Suburb and Post code)Mobile NumberInstall AddressInstall SuburbInstall PostcodeInstall DateState Product was installedSystem BrandSystem ModelSystem Tank SizeTank Serial NumberProperty Type Is the system you are replacingIs the system a new home installation?Is there more than one system installed at this address?Is the owner registered for GST?Installer Details (Name, Address, Phone Number & LIcence number)
STC Deeming Period
1 Yr
5 Yrs
15 Yrs
Mandatory Declaration
I am the legal owner of the above system and assign the right to create STCs to Oz Heat Pumps.
I understand I am under no obligationto assign STCs to Oz Heat Pumps
I agree to repay the STC payment to Oz Heat Pumps should my assignment be invalid.
I understand that an agent of the clean Energy Regulator or Oz Heat pumps may wish to inspect The system within the 1st 5 years of certificate redemption.
I must retain reciepts and proof of the installation date for the life of the STCs.
I am aware that penalties can be applied for providing misleading information in this form under the renewable (Electricity) Act 2000.
I understand that this system is eligible for stcs and in exchange for assigning my right to create these STCs I will receive from the installer/ supplier a point of sale discount.
