Completion notice for water

Customer portal

Installer

This field is mandatory

Clerk

This field is mandatory

Phone Number

Please enter a valid phone number

Please enter a valid mail address

Recipient

First Name

This field is mandatory

Last Name

This field is mandatory

Street

This field is mandatory

House Number

This field is mandatory

Post code/city

This field is mandatory

Owner

Company

This field is mandatory

First Name

This field is mandatory

Last Name

This field is mandatory

Street

This field is mandatory

House Number

This field is mandatory

Post code/city

This field is mandatory

Object

Street

This field is mandatory

House Number

This field is mandatory

Post code/city

This field is mandatory

Floor, Location

Please enter a floor location

Civil Parish

Please enter pol gem

Parcel No.

Please enter parcel number

Emergency Cooling Systems

Please Enter Emergency Cooling Systems

Location

Please Enter Location

Approval Existing

Yes

This field is mandatory

Performance (l/s)

This field is mandatory

Water Softener System

This field is mandatory

Location

Please Enter Location

Maintenance contract according to SVGW leaflet W10027 available?

Yes

Performance (l/s)

Please Enter Performance

Total (l/s)

Please Enter Total

A system separator requires a special permit, including a maintenance contract, is this available?

Yes

Meter installation can be done on

Please Enter Meter installation Date

Completion / Acceptance on

Please Enter date of estimation

I hereby declare that all the information I have provided is complete and correct.

This field is mandatory

Contact