Change of Address / New Customer

Type of Application*

Change of Address
New Customer

Title*

Forename(s)*

Surname*

Date of Birth

Customer Account Number

Contact Number*

Email Address*

Enter Email Confirm Email

Email Address*

Enter Email Confirm Email

Additional account holder

You can add another person, over the age of 16, to share responsibility for this account. This person will also share financial responsibility for the account.
Please Note: Only people named on the account can discuss the account with us.

Add additional account holder*

Yes
No

Title*

Forename(s)*

Surname*

Email Address*

Enter Email Confirm Email

Date of Birth

Previous Address

Previous Address*

Previous Postcode*

Meter Serial Number

at Previous Address

Final Meter Reading

at Previous Address

Date Left Previous Address

Do you wish for us to transfer these billing details to your new address?

Yes
No

Person Now Responsible For Bills

at Previous Address

New Address

Are you responsible for paying the bill at your new address?

Yes
No

New Address*

Postcode*

No. of Bedrooms*

No. of Occupants*

Meter Serial Number

at new address

First Meter Reading

Moved to New Address*

New Bill Payer

Enter the details of the new bill payer

Full Name*

Contact Number*

Enter a number that we can contact them between 8.30am and 4.30pm

Address

Any Other Information?

Landlord/Lettings Agent details (if applicable)

Are you renting this property?*

Yes
No

Landlord/Lettings Agent Name & Address*

Other Information

Comments

Do you wish to pay your water bill by Direct Debit?*

Yes Please
No Thanks

Set up a direct debit

This form must be completed by the bank account holder

Bank Name*

Name on Bank Account*

Sort code*

Please enter the 6 numbers with no spaces or dashes

Account Number*

Your 8 digit account number. If your account number only has 7 digits please add a 0 at the beginning

Payment Frequency*

Direct Debit payments for customers charged on an unmeasured basis are taken over 8 monthly instalments.

Direct Debit payments for customers charged on a measured basis are taken over 12 monthly instalments.

Which date would you like your payment to be debited?*

Direct Debit Guarantee

If there are any changes to the amount, date or frequency of your Direct Debit, Portsmouth Water Limited will notify you seven working days in advance of your account being debited or as otherwise agreed. If you request Portsmouth Water Limited to collect a payment, confirmation of the amount and date will be given to you at the time of the request.

If an error is made in the payment of your Direct Debit by Portsmouth Water Limited or your bank or building society, you are entitled to a full and immediate refund of the amount paid from your bank or building society.

If you receive a refund you are not entitled to, you must pay it back with Portsmouth Water Limited asks you to.

You can cancel a Direct Debit at any time by simply contacting your bank or building society. Written confirmation may be required. Please also notify us.

Privacy Notice

We do retain personal data that you provide to us. For more information on how we process your data and for details on how to opt out of non-essential messages, please see our Privacy Notice

Name

This field is for validation purposes and should be left unchanged.

Change of Address / New Customer

Please complete the form below with as much information as you can provide so that we can process your application as quickly as possible.

If we have any questions about your move we will contact you by telephone or email. Otherwise you will next receive a bill or letter from us. Any moves taking place more than 14 days in advance will be processed nearer the move date.