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Disconnect a gas supply

If you’re refurbishing, extending or demolishing your house our business, you may need to disconnect your gas supply. Use this form to apply for a disconnection.

Site Details

Street Name

Site Contact Name

House Name/Number This is the address where you want the gas supply to be disconnected.

Locality/District

Postal Town

Postcode

Contact Name

Organisation (if applicable)

Email Address

Tel Number (Day)

Best Time to Contact

Morning Afternoon

Reason for Disconnection

This is the address we will use for writing to you and as the bill payers details.

Correspondence Details

Correspondence Contact Name

Title (Mr, Mrs, Ms, Miss)

Company or Organisation you are applying on behalf of

Name/Number

StreetName

Locality/District

Postal Town

Email Address

Best Time to Contact

Morning Afternoon

Only fill this in if the billing person/address is different to the Correspondence Address.

Billing Details

House Name/Number

Billing Contact Name

Organisation (if applicable)

Street Name

Locality/District

Postal Town3

Postcode

Email Address

Tel Number (Day)

Best Time to Contact

Morning Afternoon