Your details
Opus Energy account number (if known)
Your business name (if applicable)
Title
*
Mr
Mrs.
Miss
Ms.
Lord
Lady
Sir
Prof.
Dr.
Mr.
First name
*
Surname
*
Contact number
*
Email address
Property details
Building name/number
*
First line of address
*
Postcode
*
Previous occupier move out date
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
January
February
March
April
May
June
July
August
September
October
November
December
Year
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
Previous occupier forwarding address building name/number
Previous occupier forwarding address postcode
Electricity meter serial number(s) - if applicable
Gas meter serial number(s) - if applicable
Electricity meter read(s) on the move out date - if applicable
Gas meter read(s) on the move out date - if applicable
New occupier move in date
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
January
February
March
April
May
June
July
August
September
October
November
December
Year
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
Is this energy supply business use only?
*
Yes
No
Details of new occupier
New occupier's title
*
Mr
Mrs.
Miss
Ms.
Lord
Lady
Sir
Prof.
Dr.
Mr.
New occupier's first name
*
New occupier's surname
*
New occupier's contact number
*
New occupier's email address
Business name
Company registration number (If Ltd)
Home address (If Sole Trader)
Customer declaration
*
I can confirm that the information provided in this form is accurate and accept that I can be held accountable for charges for any period should new information be provided at a later date.
