Sign up to Priority Services
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- Sign up to Priority Services
If you are filling in this form on behalf of someone under 16 then please register as yourself.
Accessibility and language options
Who are you registering on behalf of?
The person being registered for Priority Services is Name here
Is the person being registered affected by any of the following?
Is the person being registered affected by any of these circumstances?
Would the person being registered have difficulty collecting an alternative supply of water in the event of a water supply disruption?
Please use the box below to tell us anything about your circumstances that will help us support you. This is optional.
You can set a password so our team can prove their identity when they visit
How did you hear about the priority services register?
Are you sure?
Changes are waiting to be saved
Are you sure?
This will remove the Priority Services selections for you
Removal confirmed
We have removed you from the Priority Services Register
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