You must have JavaScript enabled to use this form. Your details Name Phone number EMail Address postcode Your Message Your development - Select -Brook House, Cannon RoadCapitol Way, ColindaleDerwenthorpe, YorkErith Park, KentHale Village, Tottenham HaleSDEN, SuttonOld Vinyl Factory Move-in/completion date Relation to property - Select -I am the ownerI am the landlord (soon to have tenants)I am the tenantOther Meter serial no. (if applicable) Preference of invoice delivery - None -Via emailVia post Vulnerability section (if applicable) If you have a vulnerability and would like to be listed on our Priority Services Register (PSR) to receive additional services to assist with your vulnerability, please mark YES against one or more of the following. These vulnerabilities are defined in line with OfGem's guidelines. If you do not wish to register your vulnerability, please leave blank. Vulnerability - None -Pensionable age:Long-term/chronic illness:Mental or Physical Disability:Visually or Hearing Impaired:Non-English speaking: Please specify Additional instances of vulnerability We also consider the following as situations that may give rise to vulnerability to those definitions as above. Specify where applicable - None -Low income:Severe financial insecurity:Bereavement: Please specify Your message All personal and account information provided above is correct to the best of my knowledge. I consent for the above data to be processed and used by Veolia for purposes purely to provide with the full level of services available to me Action
