Apply for our Social Tariff

How to complete this form

Please complete all mandatory fields and upload any supporting evidence.
We will try to give you a decision within 10 working days, and we may contact you if we need any more information.
If your application is not successful we will tell you why.

Call us on 0345 357 2401 (lines open Mon - Fri 8am - 8pm, Sat 8am - 2pm) or email: mybill@affinitywater.co.uk

Fields marked with * are mandatory.

Who is named on the bill
Title *
First name *
Last name *
Address *
Postcode *
Telephone number *
Email *
Customer number Find this on the top right of your bill (e.g. 1234567-8) *