C6 - Surface water removal request form

Your Details

Customer Reference Number (10 digits) * :

Company Name * :

Premises Name:

Premises Number & Street * :

Town/City * :

Postcode * :

Customer Name * :

Contact Number * :

Email Address:

Meter Serial Number:

Why do you believe you should not be charged for this service? * :

Where does the surface water go? * :

When was this change effective from? * :

Please provide any evidence to support your claim * :

Additional documentation:

Please note, that if your water and sewerage services are provided by separate retailers, you may need to contact each retailer to raise this request.

Request to have surface water removed from your account

Your Details