Request for supply / meter verification (C1)

Please note: there is an administrative charge of £109.89 + VAT if your supply details are found to be correct.

I give consent:

This must be ticked in order for us to process your application

Company Name*:

As it appears on your water bill

Premises Name:

Premises Number & Street*:

Town/City*:

Postcode*:

Customer Name*:

Contact Number*:

Email Address:

Is your supply metered?*:

Yes
No

Meter Serial Number:

If available, your meter serial number will appear on your bill.

What do you believe is incorrect about your current supply arrangements or how you are billed for them?*:

Why do you believe they are incorrect?*:

Please provide any evidence to support your claim:

E.g. production calculations / photographs

Additional Documentation: