WaterSure Application Form for Low Income Support
This application form helps low-income households manage their water charges if supplied by a meter. If you're on qualifying benefits or have certain medical conditions, you may be eligible for reduced billing. Follow the instructions carefully to ensure your application is processed efficiently.
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How do I fill this out?
To fill out this form, start by ensuring you have all required documents ready. Answer the eligibility questions truthfully and make sure to provide necessary proof of benefits or medical claims. Submit the completed form promptly to benefit from reduced water charges.

How to fill out the WaterSure Application Form for Low Income Support?
1
Check if you have a water meter.
2
Identify if you or someone in your household receives qualifying benefits.
3
Gather necessary documentation as proof.
4
Complete the application form with accurate information.
5
Submit the finished form by the specified method.
Who needs the WaterSure Application Form for Low Income Support?
1
Individuals with low income who need financial relief on water charges.
2
Families with three or more children under 19 living in the household.
3
People receiving qualifying benefits or tax credits seeking reduced metering charges.
4
Individuals with medical conditions requiring significant water use.
5
Households looking for affordable water services based on their economic situation.
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1
Upload your PDF document to the editor.
2
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Add annotations or comments where necessary.
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5
Review the PDF one last time before submission.

What are the instructions for submitting this form?
To submit this form, you can either mail it to our office or email the scanned copy to our designated email address. Ensure all required documents are included with your application. For further assistance, feel free to reach our helpline for clarity on submission methods.
What are the important dates for this form in 2024 and 2025?
For 2024, the application period starts on April 1st and closes on March 31st, 2025. Ensure you submit your applications during this timeframe to be considered for the reduced charges.

What is the purpose of this form?
The purpose of this form is to provide financial relief for households struggling with water charges due to income limitations. It aims to support families and individuals who either utilize a significant amount of water for medical reasons or are on government benefits. By filling out this form, eligible applicants can secure reduced rates on their water bills, making essential services more affordable.

Tell me about this form and its components and fields line-by-line.

- 1. Title: Select the applicable title (Mr, Mrs, Miss, Ms, Other).
- 2. First Name: Provide your first name.
- 3. Last Name: Provide your last name.
- 4. Address and postcode: Enter your full address with postcode.
- 5. Daytime telephone number: Provide a contact number for daytime.
- 6. Evening or mobile telephone number: Provide a contact number for evening or mobile.
- 7. Customer reference number: Enter your customer reference number if applicable.
- 8. Benefits or tax credits: Tick all relevant benefits you or someone in your household receives.
- 9. Details of person(s) receiving benefits: Provide names and National Insurance numbers of beneficiaries.
What happens if I fail to submit this form?
Failure to submit this form may result in inability to access reduced water charges. If you do not provide the required documents or complete necessary fields, your application will be rejected. Always ensure you double-check your entries to avoid delays.
- Missing Documentation: Not providing proof of benefits may lead to application denial.
- Incomplete Form: Leaving required fields blank can cause processing issues.
- Incorrect Information: Providing false or inaccurate data may disqualify you from the scheme.
How do I know when to use this form?

- 1. Qualifying for Reduced Charges: Use this form to establish you qualify for lower rates.
- 2. Appealing Charges: If facing high water costs, this form is essential for requesting a review.
- 3. Documenting Medical Needs: Apply to show significant water needs for medical conditions.
Frequently Asked Questions
Who qualifies for the WaterSure scheme?
Individuals with a water meter, receiving qualifying benefits or with specific medical conditions may qualify.
How can I apply for the reduced charges?
Fill in the application form completely and submit it along with supporting documentation.
What benefits are accepted for eligibility?
Accepted benefits include Income Support, Pension Credit, and various Tax Credits.
What if my application is unsuccessful?
You will be informed via email or post explaining the reasons for the decision.
How long does it take to process my application?
You can expect a decision within 5 working days from the date of submission.
Can I edit the application form online?
Yes, you can easily edit the PDF form using our online editing tool.
How can I contact for help with the form?
You can call our helpline at 0345 1 24 24 24 for assistance.
Are there any important deadlines for submissions?
It's crucial to submit your application by the end of the billing period for reduced charges.
Can I save my changes once edited?
Yes, you can download the edited PDF after making your changes.
What should I do if I have a medical condition?
Mention it in your application to see if you qualify for adjustments on your water charges.
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