Join our Priority Services Register

This is a confidential register for customers who have individual needs, and ensures our employees know about any special circumstances or needs you may have.

Alternatively, phone us for free on 0800 027 0800 from 9am–5pm, Monday to Friday.

It should only take a few minutes, to complete this form you will need:

Items marked * must be filled in

If you wish to see this form in a different language or change the accessibly viewing options please turn on the Recite Me tool.

Your contact details

So that we can be as helpful as possible, please tell us which of the following apply to you:

Please be assured that any information you give us will be treated in the strictest confidence. Only relevant staff will have access to your details to provide you with the most helpful service possible.



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

Please click the Submit button once to send the completed form to Southern Water. It may take a few seconds for the form to be processed. You will then have the chance to print a copy for your records (this may print on more than one page).