Application Form Step 1 of 7 14% Applicant DetailsCompany Name(Required)Address(Required) Street Address City ZIP / Postal Code Landline Number(Required)Mobile Number(Required)Email address(Required) Do you have another company to manage your on-site activities?(Required) Yes No Please insert the details of the external company managing on-site activites.Contact Name(Required)Contact Number(Required)Contact Email address(Required) Site DetailsSite Address(Required) Street Address City ZIP / Postal Code Grid Reference or X & Y(Required)Supply Required(Required) New Connection Add Load Disconnection Diversion Temp Supply Service Alteration Other Load Details(Required) Domestic Commercial Load - Number of Connections(Required)Load (kVA)(Required) HeatingWhat type of heating will be used? Electric Gas Other Please select the type of heating? Electric Panel Off Peak Storage Heaters Air Source Heat Pump Ground Source Heat Pump Other Please state here the number of properties(Required)kW per Heater / pumpkW of Water HeatingIn case of Air / Ground Source Heat Pump the frequency of starting per hour and current Electric Vehicle ChargersNumber of chargers per propertySingle Phase or Three Phase Single Phase Three Phase Input CurrentkW RatingOutput AC or DCPlease input the make, model and specification of the chargers with this application Motors & Generation1 or 3 Phase 1 Phase 3 Phase No of MotorskW of Largest MotorFrequency of starting per hourStarting CurrentWill generation equipment be installed? Yes No Existing Supply InformationIf your site has existing supplies, please provide the MPAN (Meter Point Administration Number) of each existing supply in the comments section below. Mark any that you want disconnecting as part of the work with an Asterix*. If you cannot find your MPAN then provide us with your Meter Numbers. PLEASE NOTE: Your MPAN number is a unique 13 digit number and can be found on your electricity supply bill. Your MPAN number should begin with the number 16 if you are within our network area. If your MPAN number does not begin with 16 then please contact your electricity supplier to confirm who is your network operator who can deal with your connection. Comments Upload DocsPlease provide the dual quote supplied by your DNO alongside the POC drawing and any other site drawings/ information you may have.Documents Drop files here or Select files Max. file size: 20 MB, Max. files: 10. Consent(Required) By Submitting Your Message, Phone Number And Email, You Are Permitting Us To Contact You By These Means In Response To Your Enquiry Or Feedback. You Also Acknowledge That You Have Read Our Privacy Policy And That You Consent To Our Processing Your Contact Data In Accordance With ThemEmailThis field is for validation purposes and should be left unchanged.
