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Dee Valley Water plc

Registered Office:
Packsaddle
Wrexham Road
Rhostyllen
Wrexham LL14 4EH

Registered in England & Wales No. 3527628

 

 

Application for Water Payments Direct from Your Benefit

 

  
  Personal Details  
  Name
  
  Telephone E-mail  
   
  Name of Customer receiving
Benefit (if different)

National Insurance Number of
Customer Receiving Benefit

 
 

Do you consent to having deductions taken from your Benefit?

 

 
  Address Information  
 

Address





Postal Code


  
  Billing Details  
 

Billing Reference

Click to show how to find billing reference

 
  Please tell us any other information, which may be relevant to support this application for Water Direct e.g. Family, and/or household background and circumstances.