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AUTHORISATION TO DISCONNECT METER

Please read your energy over and agreement terms and conditions for more information about disconnecting your meter, fees may apply.

• I wish to disconnect my meter made by me on*
  
  DD slash MM slash YYYY
  
• CovaU for the supply of*
  • 
    Electricity
  • 
    Gas
  • 
    Electricity & Gas
• Type of request*
  • 
    Move-out
  • 
    Relocation
  • 
    Temporary Disconnection
• Account Number*
• Name*
  
  First
  
  Last
• Email*
  
• Supply Address*
  
  Street Address
  
  Address Line 2
  
  City
  
  State / Province / Region
  
  ZIP / Postal Code
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  Country
• Driver Licence Number
• Signature*
• Print Name*
• Date
  
  DD slash MM slash YYYY
  
• CAPTCHA