Application to close the gas supply

Owner

Name*

ID-code/business registery code*

Address*

Phone*

E-mail*

Contact person

if it is different from the owner or there is an authorized legal person

Street/house/apartment*

County/city*

Postcode*

Cadastral identification number

The building is ...*

Type of building*

Number of sections of a terraced house

Number of apartments in the apartment building

Please specify which building it is

Reason for requesting shut-off*

Please specify the reason for requesting closure

Shut-off gas equipment*

Please specify the gas appliances to be sealed

Scheduled date and time of gas shut-off

Additional information

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Name

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