Request for business payment relief

If you’re having difficulties paying your outstanding balance or ongoing charges, please complete this form and we will give you a call back within 2 working days.

Contact details

Title

First name

Surname

Contact number

Additional contact number

Company information

Customer reference number (10 digit)

Company trading name

Is the company a Limited company? Yes No

The company number

The SIC code

Are you able to provide a meter reading? Yes No

Please specify

Please enter your full postcode below and find your property.

Postcode

Sorry, an address cannot be found

Address

Select address

Address line 1

Address line 2

Address line 3

Address line 4

Country

Postcode

Please provide an explanation of the situation your business is currently in and the support you require:

I confirm that the information provided on this form is correct and I am authorised to provide it

I understand that Dŵr Cymru Welsh Water may need to verify the information I have provided on this form and that this may lead to a reversal of any charges made

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Request for business payment relief

Contact details

Company information