Three Valleys Water - WaterSure Application Form

Vulnerable Groups Tariff (WaterSure) - Do I Qualify?

Please note that this is NOT an actual application for the WaterSure Tariff. These very brief questions are to help you find out if you are likely to qualify. If you do, we will give you the opportunity to submit your details and an application form will be sent out to you in the post. Thank you.

Question 1: Do you have a water meter and are you or any other member of your household receiving one (or more) of the following benefits?

	Council Tax Benefit
	Housing Benefit
	Income Support
	Income-based Jobseeker's Allowance
	The New Working Tax Credit
	Child Tax Credit (except families in receipt of the family element only)
	Pension Credit

If YES, please click here to continue

If NO, sorry you would not qualify, please click here to return to the main site