Green hydrogen concessions application form You must provide responses to all questions in this form to be assessed for eligibility. Failure to do so may render your application ineligible. Contact information First name* Last name* Phone number* Email address* Organisation* This should be the legal entity who will be granted the concessions Organisation ABN* Organisation Address* Project details Which concessions are you applying for? Energy Savings Scheme Peak Demand Reduction Scheme Climate Change Fund Electricity Infrastructure Roadmap Network Charges Project name* At what stage of project development are you?* Please select Before final investment decision Post final investment decision Proposed address and GIS coordinates of hydrogen production facility* Date that hydrogen production is expected to commence* Project eligibility Will your project produce green hydrogen using 100% renewable energy under the National GreenPower Accreditation Program?* Please select Yes No Please attach renewable energy supply strategy* Will your hydrogen production load have:* Please select A dedicated connection point that is used exclusively for hydrogen production A dedicated metering arrangement, approved by your network service provider, that is used exclusively for hydrogen production Please attach site designs confirming the connection and metering arrangements* Please attach written approval from your network service provider of your dedicated metering arrangement* Further evidence for network charge discounts Name/identification of the network asset that the project will connect to* If unknown, please identify your network service provider. Will your proposed hydrogen production load have a maximum demand of at least 1 megawatt (MW)?* Please select Yes No Please attach engineering designs or product specifications that demonstrate maximum demand* Expected demand for the hydrogen production load (in MW)* Please select the option that applies:* I have received written confirmation from my network service provider that connection of my hydrogen production load will not require any augmentation or alteration (other than connection assets) to affected networks I have received a proposal from my network service provider setting out details of any network augmentations or alterations (excluding connection assets) that they propose I pay for and I confirm that I will pay for them I have received a proposal from my network service provider setting out power transfer limitations and/or load control arrangements that will allow them to manage network constraints and I confirm that I will agree to these arrangements. Please attach the written confirmation or proposal mentioned above* Will you start producing green hydrogen before 1 January 2031?* Please select Yes No Please attach project delivery schedule* Declarations By clicking this, I acknowledge that my hydrogen production load will be placed first on the load shedding schedule in case of a system event that is managed by the Australian Energy Market Operator* By clicking this, I consent to the information I provide in this form being shared with relevant third parties for the purpose of determining whether I am entitled to receive the concessions.* Submit The information you provide in this form will only be used for the purpose for which it was collected. By submitting, you consent to storage, use, and disclosure of your personal information in accordance with our privacy statement. Thank you for submitting your application. We will be in contact regarding the outcome or if any further information is required.. Updated November 14, 2023