Eccleshall Supply Pipe Replacement Scheme

Application form

If you live in Eccleshall or the surrounding area, your water might come from the Croxton borehole. Properties served by this borehole may qualify for a supply pipe upgrade to remove lead pipes. 

Please complete the form below to register your interest, and our team will get back to you with further information.

The asterisk (*) symbol denotes required fields.

Are you the owner or tenant at the property? *

The asterisk (*) symbol denotes required fields.

Have you been able to self-assess if you have a lead supply pipe? *

If you selected yes

Do you know how many neighbours share the supply? If so, please specify the number of properties.

If you answered ‘No’, would you like to receive further information to help calculate whether your bills could be cheaper by switching to a water meter? *

You can read our full privacy notice on how we use, store and share your data

 

By submitting this form you agree to our privacy notice.