Your Home
Please use this form if you are a new customer moving into our area.
*Required fields.
Title*: Mr Mrs Ms Miss Other
Other:
First Name*:
Last Name*:
Title: Mr Mrs Ms Miss Other
First Name:
Last Name:
Name of Premises / Trading As Name:
Type of Commercial Use:
Please provide details so that we can contact you if necessary
Contact telephone number*:
Mobile number:
Email*:
Please complete this section with the address you are moving to.
House and Street*:
Town*:
County*:
Postcode*:
Contact telephone number: (If different from above)
Moving In Date*: Day: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month: Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Year: 2009 2010 2011 2012 2013 2014 2015
Number of Occupiers:
Is your property: Residential, Commercial or Mixed accommodation
If you are assuming responsibility for an unmeasured unoccupied property you can request us to turn off the supply at the principal boundary stopcock - please tell us at least two days in advance of the start of your responsibility for the property.
If you would like us to turn off the supply, please tick the box
Please note that if an unmeasured property is unoccupied and you do not ask us to turn off the supply, water and wastewater charges will continue to be due and payable.
Please take a moment to read our terms and conditions for customers moving into or out of properties. Please click here for a pdf document.
Please tick the box to confirm that you have read our terms and conditions.*