Final Utility Transfer Form

Final Utility Transfer & Notification Form

Complete this form to document final meter readings and the process of notifying utility suppliers at the end of a tenancy.

1. Form & Property Details

Date Form Completed

Property Address

2. Tenant & Landlord/Agent Details

Departing Tenant(s) Full Name(s)

Form Completed By (Landlord/Agent)

Tenant's Forwarding Address (for final bills)

3. Utility Account Details

Gas

Supplier Name

Account Number

Final Meter Reading

Date of Final Reading

Action Taken by Tenant

Action Taken by Landlord/Agent

Electricity

Supplier Name

Account Number

Final Meter Reading

Date of Final Reading

Action Taken by Tenant

Action Taken by Landlord/Agent

Water

Supplier Name

Account Number

Final Meter Reading (if metered)

Date of Final Reading

Action Taken by Tenant

Action Taken by Landlord/Agent

Council Tax

Local Council Name

Council Tax Account No.

Tenancy End Date (for C.Tax)

Action Taken by Tenant

Action Taken by Landlord/Agent

4. General Notes

Additional Notes or Instructions:

5. Tenant Acknowledgement

I/We, the undersigned departing Tenant(s), acknowledge responsibility for all utility charges (Gas, Electricity, Water, Council Tax) up to the tenancy end date and/or the date of the final meter readings as recorded above. I/We confirm that I/we have taken or will immediately take the necessary steps to inform the respective utility suppliers and the local council of my/our departure, provide final meter readings where applicable, and provide a forwarding address for final bills. I/We understand that failure to do so may result in continued liability for charges.

6. Signatures

Landlord/Agent Signature: ____________________

Name: Dad-Link (ClearCompliance Agency)

Date:

Tenant 1 Signature: _________________________

Name:

Date: ______________

Tenant 2 Signature (if applicable): ___________

Name:

Date: ______________