Serving parts of North West London and the Home Counties.

Payment card replacement

Please complete this form if your payment card has been lost, damaged or stolen and you require a replacement.

Please note that all shaded fields are mandatory.

Please complete this form if you are a customer with a supply address in the central region.

Contact details

Customer number
(e.g 1234567-8 or 123456-7)
Your name :
Address :
Postcode :
Daytime telephone number :
Mobile number
Email address :

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
Please note: For your personal reference, a copy of the details you provided in this form will be sent to the email address you entered above.