One form for everything

We don't have different application forms for different support packages - it's just one form that covers them all. This means that we can give you the best help we can by taking all the information you give us and matching the right support to your individual needs.

Before you fill out the form, you can check to see if you're eligible for any benefits here.

If you're unable to fill out this form online, you can download a PDF version

Important: All our financial support requires you to be on a meter or Assessed Volume Charge (AVC). If you don't have a water meter already, by submitting your application, you authorise us to arrange for one to be installed, if possible.