1 Details of the deceased 2 Your details 3 Anything else 4 Confirmation All questions must be answered, unless marked (optional) Bereavement form - informing us of someone's death Thank you for taking the time to contact us. Please accept our sincere condolences for your loss. To ensure we can update our accounts accordingly, please complete the following form: Please enter details of the deceased Account number (optional) Title - Select -MrMrsMissMsMxMasterDrProfessorLordLadyReverandFatherSisterSirDameOther Name First line of the supply address Town/City (optional) Postcode Date of death Day (optional) Day12345678910111213141516171819202122232425262728293031 Month (optional) MonthJanFebMarAprMayJunJulAugSepOctNovDec Year (optional) Year20112012201320142015201620172018201920202021 Up to date meter readings (if known) Electricity (optional) Gas (optional) Date reading(s) taken (optional) Day (optional) Day12345678910111213141516171819202122232425262728293031 Month (optional) MonthJanFebMarAprMayJunJulAugSepOctNovDec Year (optional) Year20192020202120222023 Does the property have an active Feed-in Tariff or Smart Export Guarantee contract? i.e. renewable energy technology such as solar panels Yes No Don't know Did the deceased live in the property alone? Yes No Details of the remaining occupant(s) What is happening with the property? - Select -Remaining empty whilst applying for or going through probateReturned to private landlord (please provide details in comments box)Returned to Housing Association/Council (please provide details in comments box)Property sold (please provide details in comments box)Person who lived with deceased continuing to reside at the address (please provide details in comments box)Other please provide details in comments box What date was the property handed back? Day (optional) Day12345678910111213141516171819202122232425262728293031 Month (optional) MonthJanFebMarAprMayJunJulAugSepOctNovDec Year (optional) Year20192020202120222023 Meter readings for day handed back Electricity (optional) Gas (optional) Name of person taking over supply Date of Birth of person taking over supply (optional) Day (optional) Day12345678910111213141516171819202122232425262728293031 Month (optional) MonthJanFebMarAprMayJunJulAugSepOctNovDec Year (optional) Year19111912191319141915191619171918191919201921192219231924192519261927192819291930193119321933193419351936193719381939194019411942194319441945194619471948194919501951195219531954195519561957195819591960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023 Please inform us of any circumstances you feel we should be aware of, for example over 60 years of age, registered disabled or living alone. (optional)