Water Direct (DWP) Application Form

Please find below the online application form for the water direct scheme. By completing the application we can apply to the Department for Work and Pensions to take a regular amount from your benefit and pay it directly to us. The advantage of choosing this method is that your water charges will be paid automatically, and your arrears will be addressed in an affordable way.

(Please note that fields marked * are mandatory)

Title*

Name of account holder*

Property address*

Post code*

Customer reference number*

Name of person claiming
(If different from above)

National Insurance Number*

Date of birth*

Email address*

Telephone number*

Mobile number

Current benefits recieved*

Are you currently having other deductions taken from your benefit?*

Yes

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Water Direct (DWP) Application Form

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