Bournemouth Water
Moving home - new occupier
Address details (of the property to be supplied)
Postcode
*
Address line 1
*
Address line 2
Town
County
Date you moved in
dd/mm/yyyy
*
*
Will you be responsible for paying the bill at the new property?
Yes
No
Billing address (if different from above)
Postcode
Address line 1
Address line 2
Town
County
New occupier details
Number of occupiers
1
2
3
4
5
6+
First bill payer name
Title
[Please select]
Mr
Mrs
Miss
Ms
Doctor
Other
*
First name
*
Last name
*
Date of birth
dd/mm/yyyy
*
National Insurance number
Home phone number
Mobile phone number
Email address
Second bill payer name
Title
[Please select]
Mr
Mrs
Miss
Ms
Doctor
Other
First name
Last name
Date of birth
dd/mm/yyyy
*
National Insurance number
Home phone number
Mobile phone number
Email address
Previous address details
Postcode (previous permanent address)
Address line 1
Address line 2
Town
County
If previously a Bournemouth Water customer
Water account number
Date you moved out
dd/mm/yyyy
*
*
Final meter read (if known)