Form for leakage allowance

This form should only be returned if the reason for the high consumption has been established as a leak and when the leak has been COMPLETELY repaired.

You cannot apply for an allowance until the repair is completed.

Fields marked with * are mandatory.

Your details
Name *
Supply address *
Postcode *
Daytime telephone number *
Email address *
Customer reference number (e.g. 1234567-8) *

Leak details
Please answer the following questions as fully as possible as soon as the repair has been completed. A copy of your plumber's repair bill must be attached as proof that the repair of the leak has been completed, unless Affinity Water carried out the repair. You can attach a digital copy of your document at the bottom of the form.
1a. Date when leak was first identified
1b. Date when leak was repaired *
2a. Meter reading after repair (black numbers only)
If you are unable to take meter readings, please submit the form without any and we will arrange to take the readings if required.
2b. Date of reading
If possible please provide a further reading taken at least 2 weeks after the above read. (This will speed up the processing of your allowance)
3a. Check reading (black numbers only)
3b. Date of reading
4. What was the cause and exact location of the leak? *
Please note that if your leak was on internal pipe work, Affinity Water is not required to give leak allowance. Please refer to our qualifying criteria for further information.
5. Was the leak visible?

Claim details
6. Have you made an insurance claim for the cost of the leaked water? *
If YES, please indicate the value of contribution from insurance company (£) (This information is required in order to process your claim)
7. Have you made an insurance claim for the cost of the repair? *
If YES, please indicate the value of contribution from insurance company (£)
8. Has an allowance previously been given due to a leak on your supply pipe?
If YES, did you claim in part through your insurance for the cost of the leaked water?
9. Did Affinity Water carry out the repair of the supply pipe?
This does not include repairs carried out by HomeServe. (HomeServe are a company wholly independent of Affinity Water)

I have attached a copy of my plumber's repair bill/HomeServe job sheet
I am sending a copy of my plumber's repair bill/HomeServe job sheet
Please ensure there are no bank details appearing on any repair bill attachments.
Upload bill
If you are unable to supply a copy of your plumber's repair bill please provide the reason why it is not available

10. How many occupiers in your household? *
I agree to the Terms and Conditions *

Data protection: The information you provide may be used by Affinity Water to provide you with water services, give you information about your water supply and manage your account; including the collection and recovery of charges. We also collect charges on behalf of Thames Water and Anglian Water who provide sewerage services in our supply area. Read our full privacy policy.

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Leakage allowance

Your details

Leak details

Claim details