AP17-Change of Details Form

Version History

Version	Revision Date	Changes Requested by	Changes Made	Status
V1.5	26/01/2024	(L Dunn)	Updated guidance notes re how to update published details so in line with 'new look' Access Elmhurst	Completed (LD)
V1.4	07/06/2022	L Asprey	Inserted TrustMark contact details page	Completed (LD)
V1.3	23/06/2021	L Westerman	Small changes to make form easier to process. Page 1, first bullet point changed from '...company name/account name' to 'Your Elmhurst Account Name'. New Details page: Question included re legal name change, 'New Company/Trading Name...' changed to 'New Elmlhurst Account Name'. Autoresponder email updated to include reference to EST Register.	Completed (LD)
V1.2	31/03/2021	D Reed	Elmhurst autoresponder email signature updated with newly formatted version provided by Marketing (including Elmhurst leaf logo).	Completed (LD)
V1.1	27/01/2021	L Westerman/L Asprey	Wording on Page 1 re published contact details amended to include reference to 'EST Register'	Completed (LD)
AP17 V1.0	14/12/20	L Asprey	New draft online version created (form previously paper version only)	Completed

AP17 - Change of Details Form
Please complete this form if you wish to change any of the following details Elmhurst Energy hold and will use to contact you:
- Your Elmhurst Account Name
- Your Forename / Surname*
- Address
- Telephone Number
- Email
- Website
* If you wish to change your forename or surname you will need to upload proof of your name change, ie marriage certificate or deed poll.
Please note, if you also wish to change your 'published' contact details, ie your details as they will appear on the Central/EST Registers:
- Log on to Access Elmhurst
- Click on the My Details tab and then the Published Details grey button
- Click Save once updated
Your new details will be updated on the Central/EST Registers within a couple of hours of you making the changes.

Which type of Account do you want to change?
Please tell us which type of account you would like us to make changes to.*

My own Individual / Sole Trader accountI am employed by a company but want to make changes to my own contact detailsCorporate Account ( I am either the Director / Owner or I have obtained permission from the Director/Owner to make these changes)
Please enter your Elmhurst Energy Corporate Account Number
eg, W123

Existing Details

For verification, please confirm the details we will currently hold for you
Full Name*

TitleFirst NameLast Name
Surveyor ID Number*
eg, W123-0001
Your Date of Birth*

DayMonthYear
eg, 01/01/1982
Are you currently accredited with Elmhurst as a Retrofit Assessor or Retrofit Coordinator?

YesNo

New Details

Please confirm your new contact details below.
You only need to complete the sections below that you would like us to update, however we will need you to confirm your email address even if this has not changed.
Have you changed your name (eg, by deed poll or through marriage)?*

YesNo
New Full Name

TitleFirst NameMiddle Name(s)Last Name
Please upload proof of name change

Browse Files
If you are changing your forename or surname, you will need to upload a copy of the relevant legal documentation as proof of your name change, ie marriage certificate or deed poll. Cancelof
New Elmhurst Account Name
Only complete this box if you want to change the name of your Elmhurst Account
Your New Company Registration No. (if applicable)
New Address

Street Address

Street Address Line 2

Town/CityCounty

Postcode
My new address is my

Home AddressTrading AddressBoth my Home Address and Trading Address
New Telephone Number
New Mobile Number
New Email Address*
example@example.com - Please complete this box even if your email address has not changed
New Invoice Email Address
example@example.com
New Company Email Address (update for Corporate Accounts only)
example@example.com
Please be aware, if you change your Company Email address, this will change the email address that is shown on all EPCs lodged on behalf of your company if, that is, the company has selected the option 'use corporate details on all certificates'.
New Website Address (if applicable)

TrustMark Contact Details
If you are accredited with Elmhurst as a Retrofit Assessor or Retrofit Coordinator, please let us know if you wish to update your contact details on the TrustMark Register

Please note, your contact details on the TrustMark Register can be different to those held by Elmhurst and those that currently appear on the Central/EST Registers, if applicable.
Which contact details would you like to appear on the TrustMark Register?

Same as above (please click 'NEXT' below to move onto the next page)Different, as stated below
'Trading As' Name (if required)
eg, John Smith T/A JS Energy Services
Main Telephone Number (TrustMark)
2nd Telephone Number (if required)
Address (TrustMark)

Address Line 1

Address Line 2

Town/CityCounty

Postcode
Email (TrustMark)
example@example.com
Website Address, if required (TrustMark)
eg, jsenergyservices.co.uk

Declaration

Terms and Conditions
Declaration (Individual / Sole Trader / Employed by a company)*

By checking this box I declare that all the information provided is accurate and truthful. I promise to abide by the Elmhurst Energy Systems Code of Conduct and will ensure any Terms, Standards or Codes, that are currently defined and may be specified in future, are followed. If I am a sole trader I agree to pay all charges for assessments and related fees for this account.
Declaration (Corporate Account)*

By checking this box I declare that all the information provided is accurate and truthful. I promise to abide by the Elmhurst Energy Systems Code of Conduct and will ensure any Terms, Standards or Codes, that are currently defined and may be specified in future, are followed. If I am the Director / Owner of the company I agree to pay all charges for assessments and related fees for this account. If I am I making changes to a Corporate Account but I am not the Director / Owner, I confirm I have permission from the Director / Owner to change these details.
Director / Owner Name*

First NameLast Name
Director / Owner Email*
example@example.com
The above details must match those details held at Companies House
Enter the message as it's shown*
Should be Empty:

AP17 - Change of Details Form