This form is for people wishing to become Accredited Certificate Providers (ACPs)
under the Energy Savings Scheme AND for ACPs applying to add a Recognised
Energy Savings Activity (RESA) to an existing accreditation.
Copies of the Energy Savings Scheme Rule of 2009 and other relevant documentation
required for the application, including Application Attachments and accompanying
Guides, are available on the ESS website, www.ess.nsw.gov.au.
It is essential that you refer to the Application Guide to complete every question in
this Application Form.
You must complete all details electronically in this Application Form and in the
Application Attachment specific to each ESC calculation methodology.
A non-refundable fee of $500 (GST exempt) must accompany your first RESA
application. Payment options are provided in the Application Guide.
Your completed Application Form and Application Attachment should be printed,
signed by the authorized signatory and posted to the Scheme Administrator, along
with the $500 application fee (where appropriate).
It is essential that you provide a hard copy of all application forms, attachment(s)
and supporting documentation. An electronic copy of all information must also be
included with your application for it to be accepted for assessment.
Energy Savings Scheme c/- Independent Pricing and Regulatory Tribunal
Postal: PO Box Q290, QVB Post Office NSW 1230
Contact Person 1 should be the person who will be the principal contact for all
communications with the Scheme Administrator, regarding all aspects of the
Contact Person 2 should be a person with oversight/operational/technical
involvement with the Recognised Energy Savings Activity (RESA).
If additional contacts are required, please provide their details in electronic form.
Documentary evidence must be provided to demonstrate that the applicant is the
If you are the original Energy Saver, please provide evidence that you are the
person who is contractually liable to pay for the energy consumed by the End-User
Equipment resulting in the Recognised Energy Savings Activity.
If you are the NABERS Rating Holder, please provide evidence that you have been
accepted by the NABERS National Administrator to be the person who is the
customer in respect of the rating for a NABERS Building.
If you are the nominated Energy Saver, please provide evidence that you will be, or
have been nominated by the person who is contractually liable to pay for the energy
consumed by the End-User Equipment resulting in the Recognised Energy Savings
Activity, or by the NABERS Rating Holder.
In the case of a nominated Energy Saver, you must provide an example of the
Nomination Form which you intend to use with your application (both in hard copy
and in electronic form).
The Nomination Form must contain the standard wording provided in the ESS
Application Guide Appendix 1 – Nomination as the Energy Saver. This wording is
also provided in the Fact Sheet ‘Nomination as the Energy Saver’.
Please Note: The Scheme Administrator must approve Nomination Forms for use
before they can be considered valid for the purposes of ESC creation.
This part of the Application Form requires you to provide details of the overall plan
of energy savings activities you propose to carry out, with each question designed to
help the Scheme Administrator assess whether your activities constitute a
Recognised Energy Savings Activity (RESA) under the Rule.
More detailed responses, specific to the calculation of energy savings, are required in
the Application Attachments A to I.
For each RESA, you will need to complete an Application Form, the relevant
Application Attachment, and provide the appropriate supporting documentation.
Please refer to the Application Guide for more information.
This question requires you to indicate from the list provided, which of the eligibility
criteria qualifies your energy savings activity as a RESA and best describes the way
you intend to improve end-use efficiency or reduce electricity consumption. You can
select one or more of the activities below, as appropriate.
Please indicate the type(s) of activity specific to the RESA:
If you selected ‘other’, the RESA is not eligible for accreditation under the ESS and
you should not proceed with the application.
If your planned activities constitute more than one RESA, either within one method
of the Rule or if a number of different methods are proposed, you should take time in
Question 3.2 to clearly define the boundaries of each RESA.
A separate Application Form and Attachment must be provided for each RESA.
This question requires that you provide a detailed description of the RESA you
propose to undertake and why you are entitled to create ESCs under the Rule.
Your description should provide the Scheme Administrator with a clear
understanding of what the RESA is and how it will be administered and delivered.
This should include an outline of who will implement the RESA, and their
relationship to your organisation.
For instance, you should provide detailed information about your business model,
detailing organisational structure, employment (contractor) relationships and how
you will deliver energy savings.
Each RESA will be assessed separately by the Scheme Administrator and requires
its own Application Form, Application Attachment, ESC calculation spreadsheets
and supporting documentation.
All ESS activities must take place in NSW.
If you only selected ‘another State or Territory, other than NSW’, your RESA is not
eligible under the ESS.
If your RESA is being delivered in NSW and in another State or Territory, then only
that part of the RESA located in NSW will be eligible under the ESS.
Please provide location details for the RESA.
If your RESA involves more than one site please provide a description of the
locations at which your RESA will be implemented:
Please provide details of the date on which the Energy Savings from the RESA will
be implemented (ie commence).
Where the RESA has already been implemented, please attach documentary evidence
demonstrating that implementation has occurred.
The Implementation Date must be after 1 July 2008 for a RESA to be eligible under
the Rule, unless previously accredited as an eligible Demand Side Abatement (DSA)
project under the Greenhouse Gas Reduction Scheme (GGAS).
Irrespective of implementation date, ESCs may only be created for energy savings
that occur after the date of acceptance of your application (refer page 1).
Please provide details of the anticipated duration of the energy savings resulting
from your RESA.
If any of the above are selected, the component of your RESA which includes that
activity, is not eligible under the ESS. If so, you should reconsider the boundaries of
your RESA prior to submitting an application for accreditation.
If yes, please provide details.
Please refer specifically to the Record Keeping Guide to prepare your responses to
the questions below. This Guide is available for download from the ESS website.
Record keeping arrangements should be developed so that someone external to your
organisation (an auditor for instance) can understand exactly what you do to record
the energy savings resulting from your RESA, and can find and examine all primary
records associated with your RESA. If you are unfamiliar with generally accepted
record keeping practices, you may wish to seek specialist advice or assistance in this
It is important to note that record keeping arrangements must be in place, not
planned. You must provide copies of policies, procedures, spreadsheets and
databases so that your record keeping arrangements can be assessed.
Where you are proposing to undertake more than one RESA, you will be required to
provide appropriate record keeping documentation that is specific to each RESA.
Table 1 below provides a list of the record keeping requirements under Parts 9A of
the Electricity Supply (General) Regulation 2001 (the Regulation) and governing the
ESS. The questions below are an opportunity for you to show how you meet these
requirements so that the Scheme Administrator can assess and approve your record
keeping arrangements for use in the ESS.
To answer the questions in Part 4, you should focus on providing detail of your
overall record keeping arrangements and any specific arrangements you have
developed for the RESA which is the subject of this application.
To assist in the Scheme Administrator's assessment of the applicant's record keeping
arrangements, please provide a copy of your document register listing all documents
that will :
1. detail the location of the RESA,
2. show that the RESA has been, or will be, implemented,
3. support the calculation of the number of ESCs to be created,
4. support the methodology data and assumptions used to calculate the number of
ESCs to be created
5. demonstrate that the RESA remains implemented and functioning for the life of
the proposed energy savings.
Please provide copies of documents, templates, spreadsheets and databases where
Please provide copies of the policy and procedures documents describing how the
record keeping arrangements operate. These documents should address at a
1. an explanation of the source data,
2. the process for gathering data,
3. how data is recorded within the relevant information systems,
4. details of any information systems, databases, and/or spreadsheets used to
collate, manage or store records,
5. details of personnel responsible for each type of record, and
6. length of time records are retained and procedures for archiving and retrieving
Please provide copies of your internal control policy and procedures that provide
assurance in relation to the completeness, accuracy and validity of reported data.
This part of the Application Form requires you to identify which calculation
methodology your RESA will use.
Only one calculation method and Application Attachment can be used for a RESA. A
separate Application Attachment Guide is available to complement each of the
Where different calculation methods are proposed below, you must complete a
seperate Application Form and Attachment for that method as a new RESA.
Each RESA will be assessed separately by the Scheme Administrator and will
require its own Application Form, Application Attachment, ESC calculation
spreadsheets and supporting documentation.
An application submitted without one of the above attachments is incomplete and
will not be assessed by the Scheme Administrator.
The applicant declares that:
where estimates or indicative values have been provided in this Application these
are based on the best available data and methods;
all other information in this Application is correct and not misleading by inclusion
or omission; and
it is aware that there are penalties for providing false or misleading information in
Note: Section 158 of the Electricity Supply Act 1995 imposes a maximum penalty of 100
penalty units and/or six (6) months imprisonment for knowingly providing false or
misleading information to the Scheme Administrator.
Signed by or on behalf of the applicant
This Application must be signed by a person legally authorised to sign this
Application and evidence of the signatory's authority must be supplied with this
Application in order for it to be accepted.
The documentary evidence must show evidence of legal authority to sign on behalf
of the organisation.
Please check the boxes below to ensure that you have included all required
information with your Application. Incomplete Applications will not be accepted.
Please note that payment by EFT is encouraged as the date of acceptance of the
Application (i.e. date of eligibility) is the date at which all of the above have been
received by the Scheme Administrator.