New Gas Connection Application Form

Applicant Contact Details & Ownership Information

In what capacity are you acting?*

Select

If above is "Other" please specify:

Your Name*

Please include your first name and surname.

Preferred Contact Email Address(es)*

Please include any email contacts that you would like us to include in our correspondence with you.

Your Contact Telephone Number*

Phone

I confirm that I have the permission of the property owner to apply for this New Connection*

By selecting this box I confirm that I am the property owner or have obtained the required permissions to apply for this connection from the property owner.

Funding Support

If you have a Help2Heat energy grant or similar please enter your code. For more information on financial assistance for your connection click here.

Are any occupants currently on ESP's Priority Services Register?

For more details on this, or to find out more about being added to our Priority Services Register, please visit our website or click here.

Select

Occupant Vulnerability

If the property to be connected is currently occupied please list any householder vulnerabilities that we should be aware of.

Property Details

Please complete the below with respect to the property or properties to be connected. If you are applying for multiple connections please select all that apply.

Property Address*

Property Location*

Please provide either Easting & Northing co-ordinates or a What3Words code to help us accurately locate your property. If applying for multiple connections please provide one per property.

Number of Properties connected*

Please confirm the number of properties to be connected.

Building Status*

Existing

New Build

Conversion (e.g. barn/loft)

Grade Listed Structure

New Build Completion Date

If "New Build" has been selected above please give an estimated completion date.

Property Use*

Residential

Commercial

Mixed Use

Floor

If "Flat/Maisonette" is selected above please confirm what floor the property being connected is on.

Number of Bedrooms*

If multiple properties are being connected please list these individually (e.g. 2x new build 3 bed detached & 1x 2 bed barn conversion).

Connection Details

Please Note: Whilst ESP will take into account any customer preferences expressed below we cannot guarantee these. All options given are subject to availability, industry standards & individual site specifications.

Required Gas Loads*

Please state your estimated hourly gas load for the property in kWh; if multiple properties are being connected please state the estimated hourly load per property. This information is essential for ESP to check for capacity on our networks.

If you are unsure of how to estimate your hourly usage you should consult a Gas Safe Engineer or Plumber - find one here.

Atypical or Commercial Usage

If you are aware of anything which may cause your required gas loads to be unusually high (e.g. swimming pool) please state these below. If you are connecting a commercial property please state the use (e.g. workshop).

Connection Location*

This will be the placement of the meter on the property, additional images can be uploaded at the bottom of this form to help illustrate this.

Front of the property

Side of the property

No preference

Meter Box Type*

Please note the following guidance: ESP are not able to install recessed meter boxes, these must be installed by the customer prior to the connection being carried out. Customers on medium pressure networks can only be fitted with a multibox. Internal meters will only be considered where all other possibilities have been deemed unfeasible.

Is a meter also required at the time of connection?*

Yes, I would like a meter installed

No, this is to be installed by the customer or at a later date

Who will be responsible for the groundworks for this connection?*

The customer will arrange for all groundworks on their land

ESP is to arrange all groundworks for this connection

Plans, Maps & Supporting Documentation

Supporting Documentation*

Please tick to confirm that the following items are represented in the uploaded documentation.

Site/Property Location

Meter Location

Route of Access to Site

Site Layout/Architects Plan (new builds/conversions only)

File Upload*

Please upload any additional documentation required to support your application here.

Drag and drop files here or

Declaration*

I have read the guidance notes

I have completed all fields on this form correctly to the best of my knowledge

I understand that a gas meter cannot be fitted until a supply contract exists between the end user & a gas supplier

ESP will aim to provide an initial response to your application within 3 working days of receipt.

Once ESP's quotation of works has been signed & returned by the customer the contractor has 17 working days to make contact & provide a provisional installation date.

Agreement of Declarations *

By selecting the box below I agree that I have read, understood & agree to the above declarations.

Send me a copy of my responses