Energy liability acceptance form

ACCEPTANCE OF ENERGY CHARGES FROM THE DATE OF CONNECTION.

The items of equipment listed in Section 4 will be included on my inventory in line with the national terms of connection contained within the Distribution Connection and Use of System Agreement.

Please provide the details of the Lighting Authority or other organisation accepting responsibility for the energy charges and which electricity Supplier they wish to nominate.

Please complete the form, following the below steps, which should take about 20 minutes to complete.

Energy liability form steps.jpg

Step 1: About your project

Quotation reference 55

Name of lighting authority

Address of lighting authority

Postcode

Electricity supplier

Signature of applicant

Date

Position of the applicant

Applicant's telephone number

Applicant's email address

Name of the Developer / Builder or other organisation placing the order for the new connection(s)

Step 2: Developer/Builder

Name of the developer / builder

Contact name of developer /builder

Telephone number of the developer / builder

Email address of developer / builder

Site details

Step 3: Site details

Address of the site

Site postcode

Equipment

Step 4: Equipment

If the work is subject to either a section 38 or a section 278 agreement with a Local Authority, please complete the following

Attach site inventory

Provide HA scheme number

Please tell us a little about what you are installing

Detailed location

Type, description & wattage of lamp

Control gear

Type and description of switch control equipment

Number of lamps

Privacy policy

We are committed to protecting and respecting your privacy. Please read our Privacy Policy carefully to understand our views and practices regarding your personal data and how we will treat it.