Affordability Third Party Contact Form

The information you provide will be used solely in accordance with United Utilities’ Privacy Policy. 

Trusted partner details

Customer details

Has the customer been promoted for a re-start grant

Need additional support with your water services?

Our range of FREE Priority Services means we can offer extra help so we can respond quickly to your specific needs. Click ‘Yes’ if you’d like to register

Let us know which services you need

To make sure that we register you for the correct services, please tick all of the boxes that apply to you:
Would you like us to send your bill in Braille?
Would you like us to send you a large print bill?
Would you like us to phone you with details of your bill before we send it out to you?
Would you like a friend or relative to speak to us on your behalf?
If one of our employees has to visit your home would you like us to use a password?

Declarations