Essentials Tariff Renewal Declaration

The renewal of your entitlement to our Essentials tariff is now due. You can let us know if you are still eligible to receive a discount by using the form on this page.

When to use this form

The renewal of your entitlement to our Essentials tariff is now due. You can let us know if you are still eligible to receive a discount by using the form below.

To complete this form you will need

Your name and address
Your customer number (The 8 to 10 digit number found in the top right corner of your bill)
Your household income (If your circumstances have changed only)

Alternatively, you can phone us for free on 0330 303 0277 from 8am-7pm, Monday to Friday, or 8.30am-2pm on Saturdays.

If you wish to see this form in a different language or change the accessibility options please turn on the Accessibility tools found in the top navigation bar.

Step 1: Your contact details

Please add your name, address and contact number here.

Step 2: Change in circumstances

PLEASE ONLY COMPLETE IF YOUR CIRCUMSTANCES HAVE CHANGED since your last renewal/application, please complete the fields below where applicable

Step 3: Declaration

Please complete the declaration to complete the form

First name

Last name

First line of address

Postcode

Phone

Email (optional)

Customer number (optional)

Wages/Salary after tax (optional)

Pension after tax (optional)

Disability Living Allowance (optional)

Personal Independence Payment (optional)

Any other income (optional)

My household savings are less than £16,000

I have read and understand the declaration

I recognise that Southern Water may request additional evidence as to my eligibility for the Essentials tariff and providing false information may result in my tariff being discontinued - I give permission for my information to be processed by Southern Water, or their specialist contractors, both within the UK and abroad.

I have read and understand the declaration

Step 1: Your contact details

Please add your name, address and contact number here.

Step 2: Change in circumstances

PLEASE ONLY COMPLETE IF YOUR CIRCUMSTANCES HAVE CHANGED since your last renewal/application, please complete the fields below where applicable

Step 3: Declaration

Please complete the declaration to complete the form

Building & Development

Commercial

Retailers

Our Region

About Us

Essentials Tariff Renewal Declaration

When to use this form

Step 1: Your contact details

Step 2: Change in circumstances

Step 3: Declaration

Step 1: Your contact details

Step 2: Change in circumstances

Step 3: Declaration

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