Payment Extension
Payment form

To request for a payment extension to have more time to make a payment, please complete the form below as early as possible to avoid disconnection which may result in additional cost to you.

WE’RE HERE FOR YOU

CovaU is always here to help you get back on track, if you’re experiencing payment difficulties, please contact us on 1300 689 866 find out more information of our hardship programs to help you get through your tough times.

AUTHORISATION TO PAYMENT EXTENSION

Account Number*
Name*
First Last
Supply Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Utility Extension for:*
- Electricity
- Gas
- Electricity & Gas
Please enter the current due date on your bill:*
DD slash MM slash YYYY
Invoice Number:*
Total Amount due current invoice:*
Select the payment extension period:*
- 1 Week
- 2 Weeks
- 3 Weeks
Please tick the following to confirm your payment extension request:*
- You have not received a reminder notice from us
- You have not received a disconnection warning from us
- You have not previously requested a payment extension on your current invoice
Signature*
Print Name*
Date*
DD slash MM slash YYYY
CAPTCHA

Click to send form via email to support@covau.com.au or if you wish to mail the form, send to: PO BOX R241, ROYAL EXCHANGE 1225

Payment Extension Payment form

WE’RE HERE FOR YOU

AUTHORISATION TO PAYMENT EXTENSION

Payment Extension
Payment form