Priority Services Register – update your details

Please complete the form to update the Priority Services Registration.

By completing this document, signing the declaration, and returning it to us you are confirming that you or the person you are registering on behalf of would like to be added to the Affinity Water Priority Services Register. You are also confirming that you are happy for Affinity Water to securely hold and process your contact information and information about the stated needs including limited medical information.

Fields marked with * are mandatory.