111 Application Form
Complete this application form if you want us to consider you (or someone you are applying on behalf of) to be covered by the 111 Contact Code.
This form can only be completed by one of the following people:
- a customer (the account holder);
- a person who is listed as an authority on the customer's account; or
- the customer or person listed as an authority on the customer's account on behalf of someone who occupies the premises where the phone service is supplied.