Surface water rebate form

This is a one page form.

To complete this form you will need:

Items marked * must be filled in.

Property details

Was your property
built before 2001?

Yes
No

Is your property in a block of flats?

Yes
No

Drainage details

Does the surface water from your property roof drain into soakaways?

Contact details

Contact title :

Contact full name :

Company name
(if applicable):

Full address :
(number, street and town)

Postcode :

Please enter at least one of the following:

Telephone number :

Mobile number :

Email address :

Preferred method of contact

Payment Ref No :
(If available)

This is found at the top right hand side of your bill. Show me

Correspondence address

Correspondence address :
(if different from above)

Correspondence postcode :
(if different from above)

Please refer to our Privacy Statement to understand how we may use your personal information.

Please now Submit to send the completed form to Southern Water. You will also be able to print a confirmation copy for your records.