Priority Services Register

Thank you for submitting your details. We will be in touch if we need more information.

Contact preferences

Would you like for us to set up a password to enter your premises?
If yes, we will contact you through your details given to set up the password.

Would you like for us to set up a password to enter your premises?
If yes, we will contact you through your details given to set up the password.

Password

Nominated Person Details

Is there anyone we can contact in case of a power cut that has the ability to aid you? If no, please skip

Nominated Person Details

Is there anyone we can contact in case of a power cut that has the ability to aid you? If no, please skip

Household needs

Please tell us about the needs of your household below by ticking all boxes that apply:

Household needs

Please tell us about the needs of your household below by ticking all boxes that apply:

Medically Dependent Equipment
Mobility impairment, disability or mental health condition
Are you of Pensionable Age
Communication Impairment
Do any of these fit your circumstances?

Declaration
By submitting this form, I am providing consent to Vattenfall Networks to process the information provided in accordance with our data protection policy. I also understand that my data can be shared to other companies for the purpose of providing this Priority Service Register. The information provided above is true to the best of my knowledge.

Declaration
By submitting this form, I am providing consent to Vattenfall Networks to process the information provided in accordance with our data protection policy. I also understand that my data can be shared to other companies for the purpose of providing this Priority Service Register. The information provided above is true to the best of my knowledge.

I agree