C03 Deregistration

HomeC03 Deregistration

C03 Deregistration



Items marked * must be filled in.

1. Retailer details


2. Eligible premises details

Does the premises have 2 (two) or more tenancy units which are separately assessed by the Valuation Office Agency and which are registered at the Market Operator as Supply Points?

Yes

No


3. Supply points to be deregistered or services to be removed from the supply point register

3.1 SPID3

Please tick here if the Water Services Supply Point to be deregistered

Tick here if the Supply Point has multiple supplies for water, and only some of these supplies are to be deregistered

Please advise at 3.2 of the water supplies to be removed

Please tick here if all Sewerage Services are to be deregistered, namely Foul Sewerage Services, Surface water Drainage Services and Highway Drainage Services

Yes

No

Please tick here if Surface Drainage Services is to be removed

Yes

No

Please tick here if Foul Sewerage Services is to be removed

Yes

No

Please tick here if Highway Drainage Services is to be removed

Yes

No

Is there a discharge of Trade Effluent from the premises to the Sewerage system?

Yes

No

Please note that termination of a Trade Effluent Consent should follow the appropriate Trade Effluent process.


3.2 Details of water supplies to be deregistered

Please provide details of all water revenue meters and supplies to be deregistered

Meter 1 Meter 2 Meter 3
Meter serial number
Physical meter size4
Number of digits
Date of meter installation
Most recent meter reading
Date of reading
Meter location (GIS X)
Meter location (GIS Y)

Description of meter location

Please advise if there is an Unmeasured or Assessed supply to be deregistered and any additional details



Are there any meters that are part of a Meter Network?

Yes

If Yes please provide details

No


4. Reason for the request

4.1 Reason for Deregistration


Please indicate the reason for the request and complete the relevant section below

Demolished: property has been demolished and no longer exists Please complete section 5

Merged Property: a formerly individual property has merged with a neighbouring property and is supplied through a different SPID Please complete section 6

No water connection: property is not connected to the Water Supply systemPlease complete section 7

No sewerage connection: property is not connected to the Sewerage system Please complete section 8

No Surface water Drainage: no Surface water from the property drains to the Sewerage system Please complete section 8.2

Landlord water Meter: water and Foul Sewerage Services to the Eligible Premises as a whole are registered through the landlord meterPlease complete section 9

Premises not eligible (or change of use)Please complete section 10

Duplicate SPID: more than one SPID has been identified for the same Supply PointPlease complete section 11

Other

4.2 Service request history

Please provide any relevant Wholesaler service request reference numbers in relation to the request

4.3 Retailer summary


5. Demolished

Please provide a demolition certificate in support of your request where available.


6. Merged property


6.1 Current (merged) premises details

Does the merged property only have one connection to the Wholesaler's Water Supply system

Yes

No

Unknown

If No, please provide a description of the current connection status. Please include all relevant references, address and meter details and any previous Wholesaler service request references in support of your application

6.2 Previous (unmerged) premises to be deregistered

Please provide the details of the previous property/properties which are now merged into the current property (as set out in section 6.1 above) and require to be deregistered. Please provide details on a separate sheet if necessary


Property 1 Property 2
Water SPID to be deregistered
Effective date of deregistration
Sewerage SPID to be deregistered
Effective date of deregistration
UPRN, if available9
VOA BA reference, if available10
Company name
Building number
Building name
Address line 1
Address line 2
Address line 3
Town
Postcode
Rateable value of property registered at the Market Operator
Rateable value of property registered at the Valuation Office Agency
Meter serial number
Physical meter size11
Number of digits12 to provide reading to 1m3
Meter serial number

7. No water connection

Please indicate why the property is not connected to the Wholesaler's water Supply system

Private water supply, e.g. private borehole or other private source

If the property as a whole is served through the landlord's metered supply, please indicate and go to 9.4

No water connection/no services at the premises

Other

If other, please specify

If the Sewerage Services SPID is also to be deregistered please complete section 8.


8. No sewerage connection


8.1 Sewerage

Please indicate where sewerage from the property drains to

No sewerage facilities at the premises

Septic tank

Soak-away

Septic tank and soak-away

On-site treatment facility

Other

If other, please specify


8.1A Wholesaler's response to request to deregister the Sewerage Services SPID

This section will be completed by the Wholesaler following the sewerage connection investigation and ensures the requisite information is passed to the Retailer.

Findings of Inspection Response Mandatory/Optional
SPID(s) Mandatory
VOA BA reference Optional
UPRN Optional
Address visited Mandatory
Visit/Desk assessment Mandatory
Date of visit (dd/mm/yyyy) Mandatory
Analysis undertaken to determine conclusion, e.g., dye test, GIS analysis, etc Mandatory
Do Foul Sewerage charges apply? Yes No Mandatory
Do Surface water drainage charges apply? Yes Yes Mandatory
Do Highways Drainage charges apply? Yes No Mandatory
Which sewerage charges apply? (list) Mandatory
Change to market data? Yes No Mandatory
If 'Yes' to above, expected date of transaction (dd/mm/yyyy) Optional
Charge to Retailer for visit Mandatory
Other supporting information inc reason for visit Optional


8.2 Surface Water drainage

Does any rainwater or Surface water drain from the property to the Sewerage system?

Yes

No

Please indicate where rainwater or Surface water from the premises drains to

Soak-away

On-site treatment facility

Watercourse

Septic tank

Other


8.2A Sewerage Wholesaler's response to Surface Water drainage investigation

This section will be completed by the Sewerage Wholesaler following the Surface water drainage investigation and ensures the requisite information is passed to the Retailer.

Findings of Inspection Response Mandatory/Optional
SPID(s) Mandatory
VOA BA reference Optional
Address visited Mandatory
Visit/Desk assessment Mandatory
Date of visit (dd/mm/yyyy) Mandatory
Analysis undertaken to determine conclusion, e.g., dye test, GIS analysis, etc Mandatory
Do Surface Water drainage charges apply? Yes No Mandatory
Change to market data? Yes No Mandatory
If 'Yes' to above, expected date of transaction (dd/mm/yyyy) Optional
Charge to Retailer for visit Mandatory
Other supporting information inc reason for visit Optional

9. Landlord meter

Please provide details of the landlord SPID through which Services to the SPID to be deregistered are arranged, in the case of more than one tenancy unit at the eligible premises as a whole.


9.1 Landlord SPID details

Water SPID

Sewerage SPID


9.2 Landlord premises address details

UPRN, if available 13

VOA BA, if available 14

Company name

Building number

Building name

Address line 1

Address line 2

Address line 3

Town

Postcode

Rateable value of property registered at the Market Operator

Rateable value of property registered at the Valuation Office Agency


9.3 Landlord premises meter details

Meter serial number

Physical meter size 15

Number of digits16 to provide reading to 1m3


9.4 SPIDs supplied through the landlord meter

Please provide SPID information and address details for all other tenancies supplied through the landlord meter. Please provide details on a separate sheet if necessary.

Water SPID (if applicable)

Please tick here if the Water SPID is to be deregistered

Yes

No

Date from which deregistration should be effective

Please provide the same for all additional water Services Supply Points to be deregistered.

Sewerage SPID (if applicable)

Please tick here if Foul Sewerage Services are to be deregistered

Yes

No

Date from which deregistration should be effective

Please tick here if Surface water drainage is to be removed

Yes

No

Date from which service components should be removed

VOA property reference number, if available17

Company name

Building number

Building name

Address line 1

Address line 2

Address line 3

Town

Postcode

Rateable value of the property registered at the Market Operator

Rateable value of property as registered with the Valuation Office Agency

10. Premises not eligible or (change of use)

Effective date of deregistration

Reason premises is not eligible or is no longer eligible

Cross border premises no longer eligible for Water Services

Premises not eligible for Water Services and Sewerage Service

If the premises is now a Household Premises provide the Council Tax reference number for the property, if available


11. Duplicate SPID

11.1 Duplicate SPID

Where more than one SPID is registered in relation to the same Supply Point, provide details of the SPID to be deregistered in section 3 of this form. Details of the SPID to remain in the market should be entered in the section 11 below . Please include the full details as held on your records.

Water SPID to remain in the market

Sewerage SPID to remain in the market

UPRN, if available18

VOA BA reference, if available19

Water SPID to remain in the market

Company name

Building number

Building name

Address line 1

Address line 2

Address line 3

Town

Postcode

Rateable value of property registered at the Market Operator

Rateable value of property registered at the Valuation Office Agency

Is the Supply Point to be deregistered a duplicate Supply Point registered through the Gap Site process?

Yes

No

If Yes, please complete section 11.2


11.2 Duplicate SPID registered through the Gap Site process

Please complete this section only where the duplicate Supply Point was created through the Gap Site process.

Did you request the registration of the Supply Point through the Gap Site process?

Yes

No

Please provide the details of all data transactions submitted to the Market Operator in relation to the Supply Point to be deregistered

Sewerage SPID registration submitted

Water SPID registration submitted

Please provide the details of any other Data Transactions submitted to the Market Operator in relation to the Supply Point to be deregistered

SPID Data Transaction reference Date submitted

12. Consent to contact the Non-Household Customer

The Wholesaler may wish to contact the Non-Household Customer to arrange a visit to the premises. Please indicate whether you give consent for the Wholesaler to contact the Non-Household Customer directly to arrange a visit to the premises

YesPlease provide contact details below

No

Customer Contact Details

Contact name at premises

Contact number

Please indicate if you want to be notified of the date of the visit

Yes

No


13. Additional information and attachments

Please provide any additional information relevant to the request where appropriate. If supporting information is provided separately please indicate here

Please indicate any attachments associated with this request

As-built drawings of the site

Any permits, e.g. to discharge to a water course

Photos

Demolition certificate

Other permits or supporting documentation

If other, please specify


14. Declaration

We hereby acknowledge and declare that we have undertaken investigations to confirm the status of water Services and/or Sewerage Services at this site and that following these investigations we believe this Supply Point or service component should be deregistered for the reason stated above. The information provided in this form is correct and up to date at the date of submission.

Signature

Date (dd/mm/yyyy)

Full name (in capitals)

Role in the company or job title

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