Please type the telephone number of the person you are registering on behalf of
Please type the email of the person you are registering on behalf of
Does the person you are registering pay an Essex & Suffolk Water bill?
Do they pay an Essex & Suffolk Water bill?
Please type the account number of the person you are registering on behalf of
Would you like to be a nominated contact for this account?
You can nominate yourself as their point of contact
Your Priority Services options
To submit this form please select your options below
The person being registered for priority services is
Is the person being registered affected by any of the following?
Please select one or more of the options if applicable
Is the person being registered affected by any of these circumstances?
Please select one of the following (optional)
Would the person being registered have difficulty collecting an alternative supply of water in the event of a water supply disruption?
Please select one option
How can we support the person being registered?
Please inform us of any additional information
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
Protect your home with our password scheme, so all you need to do is ask for a password from our team when they knock on your door.
How would you like your bill?
We can give you your bills in Braille, large print, audio CD and more
How did you hear about the priority services register?
Just one more thing...
With an online account, you can easily update your Priority Services choices in the future
Would you like to create an online account?
Create online account tooltip
We've updated your choices
Your Priority Services selections have been saved. Your confirmation number is We'll update this account within 10 days. Your confirmation number is Online account created, look out for email. Your confirmation number is