Premium Online Energy Assessment Form

When you receive a written quote and agree to our terms and conditions, you will be directed to fill out our online energy efficiency assessment form below to the best of your knowledge, we will perform an energy assessment based on the information you submit, we will work with you from concept drawing stage through to final working drawing certification. Please include your quote number for our reference.

    * = required

    A - Contact Details

    Business Name

    Contact Name *

    Email *

    Contact Phone Number *

    Contact Address

    Member

    B - Rating Required For?


    If applicable;

    Job #

    Purchase Order #

    Quote Number

    C - Design Details

    Building/Construction Address *

    Local Council

    Climate Zone

    Is the house located within 1km of the coast or on a cliff top?


    Roof Type

    Roof Colour


    Wall Type

    Wall Colour

    Wall Frame Type


    Floor Types

    Ground Floor

    Upper Floor

    Floor Coverings
    Please indicate area and location on your plan

    Bed

    Living

    Theatre

    Lounge

    Entry

    Passage

    Study

    Kitchen

    Bath/Ensuite

    Dining

    Games

    Family

    Other


    What levels of insulation have been added:

    Insulation Type

    Sisalation

    Thermal Break

    Ceiling

    Insulation Type

    Roof

    Insulation Type

    SisalationYesNo

    Thermal Break

    Walls

    Insulation Type

    SisalationYesNo

    Thermal Break

    Floor

    Insulation Type

    SisalationYesNo


    Windows
    Are any windows shaded by;

    Pergolas, patios or verandas
    YesNo

    Flyscreens
    YesNo

    Security screens
    YesNo

    Cyclonic screens
    YesNo

    Does the house have skylights?
    YesNo

    Window Frame Material

    Window Frame Colour

    Are any windows..?

    Window Orientation

    Window Manufacturer



    Miscellaneous

    No. of recessed vented down lights?

    No. of recessed non-vented down lights?

    Do any of the down lights have shrouds?
    YesNo

    Draught proofing fitted to:

    Hot Water System Type

    Swimming Pool
    YesNo


    Ventilation

    Type of Air Conditioner

    Ceiling Fans
    YesNo

    Wall / Ceiling Vents
    YesNo

    Unflued Gas Heater
    YesNo

    Exhaust fans

    Upload Plans

    Upload your building plans below, supports PDF documents only, maximum 16MB file size.

    Completing this application form is confirmation that all information provided in this application is true and correct. I understand that should any of the features in this application form, the attached plans and specifications be omitted or altered, certificates awarded may be withdrawn. Homes may be inspected to ensure specified features are carried out.