Energy Safe Victoria
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Electrical incident report form

To report an electrical incident fill in our Electrical incident report form or call 1800 000 922.

  1. Download the form
    Note: form is in Microsoft Word format and will download to your computer.
  2. Fill in all required details.
  3. Save the form to your computer.
  4. Email or post the completed form to: or

Attn: Electrical Incidents
Energy Safe Victoria
PO Box 262

Download PDF (99 kb)