Leakage allowance claim form | Get in touch

Before you begin

To complete the claim form, you will need:

{panel-id} Tell us about you

The asterisk (*) symbol denotes required fields.

Title *

Please select a title

First name(s) *

Please enter a valid first name(s)

Surname *

Please enter a valid surname

Account number *

Please enter a valid account number

Address

Enter your postcode *

Please enter a valid postcode

Phone number *

Please enter a valid phone number

Email address *

Please enter a valid email address

{panel-id} Tell us about the leak

The asterisk (*) symbol denotes required fields.

Where was the leak located? *

Please enter your description

When was the leak fixed? *

Please select a date

Who fixed the leak? *

Please select a title

{panel-id} Tell us about your water use

The asterisk (*) symbol denotes required fields.

After your leak has been fixed, we can re-calculate your bill for the time you had the leak based on the amount of water you use without it.

In order to do this, we need two meter readings taken two weeks apart after the leak has been fixed.

We only need the black numbers on your meter. If your meter is digital, we'll only need the numbers before the decimal point.

Meter reading 1 *

Please enter a valid meter reading 1

Date of meter reading 1 *

Please select a date

Your second meter reading must be at least 2 weeks (14 days) after your first meter reading.

Meter reading 2 *

Please enter a valid meter reading 2

Date of meter reading 2 *

Please select a date

To help us understand if your use is correct after the leak was fixed, please tell us how many people normally live at your home.

How many adults live at your home?

Please select a title

How many children live at your home?

Please select a title

{panel-id} Terms and conditions

The asterisk (*) symbol denotes required fields.

You are only able to make one leakage claim at your current home.

If you have already made a claim at your current address, this claim will be rejected.

Please tick the box to confirm you are happy to submit your claim.

Tick the box to indicate that:

I agree with the terms and conditions *

Please agree to our terms and conditions