All questions must be answered, unless marked (Optional) Are you moving in our out of the premises? Moving in Moving out Premise information If your MPANs are across more than one site or account, you will need to fill out a new form for each site / account. Alternatively, you can download our multi-site excel template. Premise address line 1 Premise address line 2 Premise address line 3 (Optional) Town / City Post code Site contact number (telephone or mobile) Meter Point Administration Number (MPAN) Submit a single MPAN or multiple MPANs using the fields below. If you have more than one MPAN please ensure they relate to the same premise address. If your MPANs are across more than one site or account, you will need to fill out a new form for each site / account. Alternatively, you can download our multi-site excel template. MPAN 1 MPAN 2 (Optional) MPAN 3 (Optional) MPAN 4 (Optional) MPAN 5 (Optional) Is this to be included as a site addition to your portfolio? (Optional) Yes No Date business/customer taking liability becomes responsible for the premise (Optional) Date business/customer ceases responsibility for the premises (Optional) Please attach Letter of Authority (if relevant) (Optional) One file only.2 MB limit.Allowed types: jpg, jpeg, png, pdf. Please attach any supporting documentation (Optional) One file only.2 MB limit.Allowed types: jpg, jpeg, png, pdf, doc, docx, xls, xlsx. Please attach any supporting documentation (Optional) One file only.2 MB limit.Allowed types: jpg, jpeg, png, pdf, doc, docx, xls, xlsx. Please attach any supporting documentation (Optional) One file only.2 MB limit.Allowed types: jpg, jpeg, png, pdf, doc, docx, xls, xlsx. Additional comments (Optional) About you – Moving in Details of the person responsible for this moving location application Who do you represent? Owner moving in Tenant Energy consultant Landlord Managing agent Other Business name (Optional) This should be the name of the business liable for charges Job title (Optional) Contact email address (Optional) About you – Moving out or relinquishing responsibility Details of the person completing this form. We will need an LOA if you are filling this in on behalf of a client customer (account holder) Who do you represent? Owner moving out Tenant Energy consultant Landlord Managing agent Other Business name (Optional) This should be the name of the business liable for charges Job title (Optional) Contact email address (Optional) Please note If you are a managing agent or energy consultant completing this on behalf of your customer, EDF Energy will require a letter of authority before we can proceed with your request. Failure to provide a Letter of Authority may result in your request being delayed or cancelled. Contact information First name Last name Contact number E-mail This is the email address which we will use to send you a confirmation email after you complete this form. Confirm e-mail This is the email address which we will use to send you a confirmation email after you complete this form. Supply details – moving in or taking liability Business Name / Organisation Name (this is the account name) (Optional) Do you have a company registration number? Yes No Company registration detail (Optional) Billing address Billing address line 1 Billing address line 2 (Optional) Billing address line 3 (Optional) County Post code Billing email address New occupier details Name of new occupier (landlord/letting agent/customer taking liability) (Optional) New occupier’s contact number (Optional) New occupier’s email (Optional)