Concession Validation

Card Type*

Pensioner Concession Card

Health Care Card

DVA Gold Card

Issue Date*

Card Number*

AGL Account Number*

First Name*

Last Name*

Street Address*

Suburb*

State*

--Please Select--

Postcode*

Phone Number

Email Address*

By ticking this box I consent to: AGL using Centrelink Confirmation eServices to perform an enquiry of my Centrelink or Department of Veterans’ Affairs customer details and concession card status in order to enable AGL to determine if I qualify for a concession, rebate or service. The Australian Government Department of Human Services (the department) to provide to results of that enquiry to AGL. I understand that: the department will use information I have provided to AGL to confirm my eligibility for relevant concessions and will disclose to AGL personal information including my name, address, payment and concession card type and status this consent, once signed, remain valid while I am a customer of AGL unless I with draw it by contacting AGL or the department. I can obtain proof of my circumstances/details from the department and provide it to AGL so that my eligibility for relevant concession can be determined. If I withdraw my consent or do not alternatively provide proof of my circumstances/details, I may not be eligible for the concession provided by AGL.

Concession validation

Concession Validation