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Priority services registration form

The information you provide is kept on a secure register restricted to only those employees of South West Water and our partners who need to know it. It is not disclosed to anyone else under any circumstances.

If you require additional help from us, you may also want to register for help with your other utilities. Energy and telecoms companies may offer password schemes and services similar to ours. Contact your energy or telecoms company directly and ask about their Priority Services Register.

To complete this form you will need
1.Your customer reference number which can be found on your bill.
2.An email address and telephone number that we can contact you or your representative on.

Please complete all the information fields marked *

Your Details
*
*
*
( )   *

 
*
 
Your Address
*
*
*

 
*
 
Services to assist you with your account
   Name of friend/relative
   Friend/Relative Address
( )  
 
Services to assist you during work on our network
I would like to receive a warning from you by;
  

 
 
Information request
I would like the following information
  





Please supply the information in the following format.

  


 
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