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  • Priority Services Registration

    Register for SSEN and Thames Water Priority Services

  • Please complete all fields marked *
    About you
    Title
    First name help text
    Last name
    Property name or number
    Address line 1
    Address line 2
    Town
    County
    Postcode
    Home phone is required
    Mobile phone
    Text phone
    Email
    If you would like to nominate a person as your contact for priority services, please tick below.
    Nominate contact
    Nominate contact
    Home security visit: if you would like us to use a password when we visit you, please enter it below (no more than 10 characters).
     If you would like us to use a password when we visit you, please enter it below (no more than 10 characters).
    Registration reasons
    Please let us know your reasons for registering ticking all below that are applicable to you or someone in your household:
    Nebuliser or Apnoea Monitor
    Heart / Lung Machine or Ventilator
    Dialysis, feeding pump and automated medication
    Oxygen Use / Oxygen Concentrator
    Careline or Telecare
    Other electrical equipment which you rely on for your health, please specify below
    Medical Equipment type
    Please tell us any other reasons: (tick all boxes that apply)
    Blind
    Partially sighted
    Hearing loss, deafness or speech difficulties
    Mental Health
    Stair lift
    Restricted movement
    Over 60
    Physical impairment
    Medicine Refrigeration
    Dementia
    Families with children under 5
    Learning difficulties
    Temporary - Young adult householder
    Chronic illness
    Temporary - post hospital recovery
    Other
    Other information
    English is not my first language
    Please specify your first language if not english
    Select the how did you hear about us choice
    Other information for hear about us choice
    What submitting this form means to you

    Terms of registration

    By submitting this form you are confirming that you understand we may need to pass details to a third party such as British Red Cross, Local Authority or Emergency Services, in order to provide you with priority services.

    We will not use or pass your details to a third party for marketing purposes.

    If you have a nominated contact, you are giving your explicit consent for us to talk to your nominated contact on your behalf when providing priority services. This may mean we will share information about you and your electricity supply with them

    Terms of registration consent

    Sharing your details

    With your consent, we can pass your details onto your energy supplier who may also offer services you can benefit from; like a nominee scheme, accessible information and a password protection scheme.
    Sharing your details consent