Fill - Free fillable 8814 6231c Watersure Inside Pages 2021 Complete Web Acc (United Utilities) PDF form

01/21/SD/8814-6231c

United Utilities Water Limited,

Haweswater House, Lingley Mere Business Park, Lingley Green Avenue, Warrington WA5 3LP.

Registered in England and Wales. Registered Number 2366678.

In case you need to contact us:

To talk to us about your bill:

0345 672 2888 if you don’t have a water meter

0345 672 2999 if you have a water meter

Opening hours: 8am - 8pm Mon to Fri; 8am - 4pm Sat

To talk to us about your water and wastewater services:

0345 672 3723

Opening hours: for emergencies we are open 24 hours.

You can also call this number to check the identity of one of our

representatives.

If you have hearing or speech difficulties, and use a textphone,

please dial 18001 followed by the number you require.

Or go online:

Send a message at unitedutilities.com/email or visit our website

and click on ‘Live Chat’ to webchat with a member of our team.

You can write to us at:

United Utilities, PO Box 459, Warrington WA55 1WB

@OcialUnitedUtilities

@unitedutilities

Download our app:

Search United Utilities on the App Store and Google Play

Other leaets that may be of interest:

This leaet is one in a series of publications containing useful

information for our customers. Others that may be of interest to

you are:

• A simple guide to pipes, drains and sewers

• Water meter application pack

• Testing your household water meter

• A guide to paying your water bill

• A guide to our Priority Services

• A guide to using water wisely

• Our standards of service

• Our complaints procedure

• Replacing lead and common supply pipes

You can download any of our leaets from our website:

unitedutilities.com/leaets, or write to: United Utilities, PO Box 459,

Warrington WA55 1WB.

What to do now

• Please read the enclosed information carefully to ensure you are eligible for the WaterSure

scheme.

• Complete the application form and return it to us with the supporting information we ask for.

The notes sections on the form explain the evidence you need to return to us.

My Account

pay your bill, tell us you’ve moved, give a meter

reading and go paperless.

Visit unitedutilities.com/myaccount

I ••united

Utilities

Water for the North West

WaterSure application pack 2021/2022

Help with

your bill if you

have a water meter

Oh no, not another bill...

It’s the sound that

everyone hates - a bill

landing on the doormat.

No one likes paying them. But

when money is tight, bills can

go from being an everyday

nuisance to a cause of sleepless

nights and stress.

That’s when WaterSure

might be able to help. It’s a

scheme for customers with

water meters* who need to

use lots of water, but might

struggle to aord it.

We can’t make your bill

vanish, but we can put a cap

on how much you are charged.

So, no matter how high the

numbers climb on your meter,

you’ll only have to pay, at most,

an amount equal to our

average bill.

How it works

It’s pretty simple really.

If you have a water meter*, receive benets

and have a good reason for using lots of water

– such as a big family or a medical condition -

you may well qualify.

Please ll out the form enclosed with this leaet and post it

back to us, along with copies of the supporting documents

indicated on the form.

If you t the bill, so to speak, we’ll cap your charges at

£425.06 per year. This means that, even if you use lots of

water, your bill won’t go above this amount each year.

*or you pay an assessed charge because you have applied for a water meter and

we were unable to t one at your property.

Well, it’s

one less

thing to

worry

about.

Wait a mo...

did you know?

The scheme provides

peace of mind by capping

your bills.

Even if you use lots of

water, your charges won’t

be more than the average

bill amount.

To qualify, you must

meet certain criteria –

described in this leaet

and in the enclosed

application form. Keep

reading!

If you’re already behind

with your water bill

payments, we have

support schemes to help

you out of debt. Visit

unitedutilities.com/

diculty-paying-bill for

full details.

Do you t the bill?

To qualify for

WaterSure, your

current charges will

need to be based on

a water meter (or

an assessed charge

because we couldn’t t

a meter).

You must also receive certain

benets or tax credits. You’ll

nd a full list of the benets

that count in the enclosed

information at the back of this

booklet.

Find out which benets you may be entitled

to by visiting www.turn2us.org.uk and

completing their benets calculator.

But that’s not the end of the story. You must

also have a reason for using all the extra

water that has turned your bill into a bit of

a monster. The two reasons covered by the

scheme are:

• You have three or more children under the

age of 19 living at the same address for

whom Child Benet is claimed.

• You, or someone you live with, has a

medical condition which requires the use

of lots of water. You’ll nd a full list of

these medical conditions in the enclosed

application form.

And that’s it.

If that sounds like your

household, it’s time to get

lling in that form!

It’s as easy as 1, 2, 3!

To qualify for WaterSure, you must be able

to answer ‘yes’ to all three of the following

questions:

1. Do you have a water meter or

pay an assessed charge?

2. Do you receive any one of

the listed benets or tax

credits shown in the enclosed

information?

3. Do you have to use lots of

water because either three

or more children under 19

(for whom Child Benet is

claimed) live at your house or

because of a medical condition

of someone who lives there?

Did you answer yes, yes and yes?

Then you could well qualify!

Life with WaterSure

We’ll reply to you within 10 working days of

receiving your application to let you know if

you qualify for the scheme.

If you do qualify we’ll apply the new tari from the day after

the date of your last meter reading. Unfortunately, this doesn’t

mean we can wipe the old slate clean. You’ll still have to pay

any money you owe from previous bills - but at least the future

will look a bit rosier.

You can stay on the WaterSure scheme for as long as you

need help and continue to qualify. We may also contact you

occasionally to check if you are still eligible for the scheme.

If your circumstances change, so that you no longer qualify

for the scheme, please let us know straight away. We’ll put you

back to the way we used to bill you for your services.

A NOTE ABOUT ASSESSED CHARGES

If we’ve tried, and failed, to t a water meter at your home, your

water bill may be based on an assessed charge.

If you pay an assessed charge, the good news is you are

eligible for our WaterSure scheme too. Simply complete the

enclosed form and return this to us.

’

Wait a mo...

did you know?

You can continue to pay

your WaterSure bill in the

way that suits you best,

including Direct Debit,

standing order, at your

bank, by post or online.

Visit unitedutilities.com/

my-bill for full details

about ways to pay.

If using the internet

makes your life easier,

via our website

unitedutilities.com/

myaccount, you can

then access your water

account 24 hours a day.

Going

with

the

ow

Once you’re on the WaterSure

scheme, we’ll keep reading

your meter.

Each year we will look at what you

would have paid if your water bill had

been calculated on the amount of water

actually used. If this shows that your

WaterSure charges are higher than

you would have paid based on your

meter readings, then we will credit your

account once a year with the dierence.

After all, we re trying to reduce your

bill, not make life more expensive.

WaterSure application pack 2021/2022

Help with

your bill if you

have a water meter

01/21/SD/8814-6231c

United Utilities Water Limited,

Haweswater House, Lingley Mere Business Park, Lingley Green Avenue, Warrington WA5 3LP.

Registered in England and Wales. Registered Number 2366678.

In case you need to contact us:

To talk to us about your bill:

0345 672 2888 if you don’t have a water meter

0345 672 2999 if you have a water meter

Opening hours: 8am - 8pm Mon to Fri; 8am - 4pm Sat

To talk to us about your water and wastewater services:

0345 672 3723

Opening hours: for emergencies we are open 24 hours.

You can also call this number to check the identity of one of our

representatives.

If you have hearing or speech difficulties, and use a textphone,

please dial 18001 followed by the number you require.

Or go online:

Send a message at unitedutilities.com/email or visit our website

and click on ‘Live Chat’ to webchat with a member of our team.

You can write to us at:

United Utilities, PO Box 459, Warrington WA55 1WB

@OcialUnitedUtilities

@unitedutilities

Download our app:

Search United Utilities on the App Store and Google Play

Other leaets that may be of interest:

This leaet is one in a series of publications containing useful

information for our customers. Others that may be of interest to

you are:

• A simple guide to pipes, drains and sewers

• Water meter application pack

• Testing your household water meter

• A guide to paying your water bill

• A guide to our Priority Services

• A guide to using water wisely

• Our standards of service

• Our complaints procedure

• Replacing lead and common supply pipes

You can download any of our leaets from our website:

unitedutilities.com/leaets, or write to: United Utilities, PO Box 459,

Warrington WA55 1WB.

My Account

pay your bill, tell us you’ve moved, give a meter

reading and go paperless.

Visit unitedutilities.com/myaccount

What to do now

• Please read the enclosed information carefully to ensure you are eligible for the WaterSure

scheme.

• Complete the application form and return it to us with the supporting information we ask for.

The notes sections on the form explain the evidence you need to return to us.

WaterSure application pack 2021/2022

Help with

your bill if you

have a water meter

What to do now

• Please read the enclosed information carefully to ensure you are eligible for the WaterSure

scheme.

• Complete the application form and return it to us with the supporting information we ask for.

The notes sections on the form explain the evidence you need to return to us.

,-.united

\:, Utilities

Water for the North West

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Other leaets that may be of interest: In case you need to contact us:

This leaet is one in a series of publications containing useful

information for our customers. Others that may be of interest to

you are:

• A simple guide to pipes, drains and sewers

• Water meter application pack

• Testing your household water meter

• A guide to paying your water bill

• A guide to our Priority Services

• A guide to using water wisely

• Our standards of service

• Our complaints procedure

• Replacing lead and common supply pipes

You can download any of our leaets from our website:

unitedutilities.com/leaets, or write to: United Utilities, PO Box 459,

Warrington WA55 1WB.

My Account

pay your bill, tell us you’ve moved, give a meter

reading and go paperless.

Visit unitedutilities.com/myaccount

To talk to us about your bill:

0345 672 2888 if you don’t have a water meter

0345 672 2999 if you have a water meter

Opening hours: 8am - 8pm Mon to Fri; 8am - 4pm Sat

To talk to us about your water and wastewater services:

0345 672 3723

Opening hours: for emergencies we are open 24 hours.

You can also call this number to check the identity of one of our

representatives.

If you have hearing or speech difficulties, and use a textphone,

please dial 18001 followed by the number you require.

Or go online:

Send a message at unitedutilities.com/email or visit our website

and click on ‘Live Chat’ to webchat with a member of our team.

You can write to us at:

United Utilities, PO Box 459, Warrington WA55 1WB

@OcialUnitedUtilities

@unitedutilities

Download our app:

Search United Utilities on the App Store and Google Play

United Utilities Water Limited,

Haweswater House, Lingley Mere Business Park, Lingley Green Avenue, Warrington WA5 3LP.

Registered in England and Wales. Registered Number 2366678.

01/21/SD/8814-6231c

WaterSure scheme

Are you eligible?

This ow chart should help you to decide if you are eligible for the

WaterSure Scheme

Do you have a water meter or are you

receiving assessed charges?

Yes

Do you or anyone in your household, receive any

of these benefits or tax credits?

• Income Support

• Income-based

Job Seeker’s

Allowance

• Housing Benefit

• Working Tax Credit

• Pension Credit

• Child Tax Credit (not just the

family part)

• Income-related Employment and

Support Allowance

• Universal Credit

Yes

Do you, or anyone in your household,

have any of these medical conditions?

Yes

• Desquamation

(flaky skin disease)

• Weeping skin disease

– (eczema, psoriasis,

varicose ulceration)

• Incontinence

• Abdominal stoma

• Crohn’s disease

• Ulcerative colitis

• Renal failure requiring home dialysis

– (except where the health authority

contributes to the cost of the

dialysis)

• another medical condition which

requires the use of significant

additional water and can be

supported with a doctor’s certificate

Do you or a member of your household receive the benefit or

tax credit and child benefit for three or more children under 19

living in your household?

Yes

You ARE LIKELY to be eligible for WaterSure.

Please fill in the application form and return it to

us with the evidence requested

You are not eligible for WaterSure

You might want to contact us on 0345 672 2888 for advice on other ways to

help you pay your bill. For example, you could switch to using a water meter

if you are not already on one; install water-saving equipment; or make sure

you have the best payment plan for your circumstances

Please note: you do NOT qualify for WaterSure if:

• You do not receive one of the benefits shown above

• Your bill is not based on a water meter reading (unless we were unable to fit a meter at your property and you have chosen to pay

an assessed charge)

• You water your garden with a non-handheld appliance such as a sprinkler or domestic irrigation system

• Your household has an auto-filling swimming pool, pond or other similar piece of equipment which holds over 10,000 litres of water

’

I ~A United

\::;, Utilities

Water for the North West

How to apply for WaterSure

The WaterSure scheme can help you if you have a low-income and your water is supplied by a

water meter. We can help by putting a limit on your charges for water and sewerage services, as

long as you meet the following conditions:

1 Your supply is metered (or you are paying an assessed charge

as we were unable to fit a meter at your property).

2 The person who pays the water bill, or someone else in your

household, receives benefit (the list of qualifying benefits

are shown on the reverse of this sheet) or tax credit; and in

addition,

3 There are either:

a) three or more children under the age of 19 living in the

household for whom the person receiving the above benefit

also claims Child Benefit; or

b) you, or someone living in your household has a medical

condition that means they use a lot of extra water.

This year (1st April 2021 to 31st March 2022), the reduced

charges for the WaterSure scheme are:

Water Sewerage Total

Capped charge p.a. £202.84 £222.22 £425.06

If your current charges are more than this, you may be entitled

to pay the reduced charge. Each year we will look at what you

would have paid if your water bill had been calculated on the

amount of water actually used. If this shows that your WaterSure

charges are higher than you would have paid based on your

meter readings, then we will credit your account once a year

with the difference.

Please note: if you are not connected to the public sewer system

for surface water drainage, we will reduce your sewerage charge

to £152.58.

How to apply

1 Fill in the application form and return it to us with the

necessary supporting evidence.

If you need help with the form, please phone us.

2 The person named on the water bill should sign the form as

well as the person who receives benefit

or who has a medical condition (if they are not the person

named on the water bill).

3 We’ll reply to you within 10 working days of receipt of your

application to let you know if you’ve met our criteria. We will

contact you if we need any more information.

4 If your application is not successful we will tell

you why.

5 If your application is successful, we will apply the WaterSure

tariff to your next bill.

We’re happy to provide this information in large print or

different formats.

Support when you need it most

We can all benefit from a bit of extra help at some stage in our

lives. This could be due to age, ill health, disability, mental health

problems, financial worries or language barriers.

Registering for Priority Services is free and means you will

benefit from additional services to support your particular

needs:

• Braille, large print, ‘talking’ bills and leaflets

• Nominate a carer, family member or friend to speak to us on

your behalf

• Knock and wait service to give you extra time to answer the

door if you have mobility needs and we need to visit

• Protection from bogus callers with a password protection

scheme

• Support for dialysis patients

• Notice of interruptions to your water supply

You can register at unitedutilities.com/priorityservices or call

our team on 0345 072 6093.

Struggling to pay your bill?

If you are having difficulty paying, please call us as soon as

possible on 0800 072 6765.

If you’re on Income Support we may be able to arrange for you

to pay your bill direct from your benefit payments.

About us

United Utilities is the North West s water company. We keep the taps owing and toilets

ushing for seven million customers every day. From Crewe to Carlisle, we work hard

behind the scenes to help your life ow smoothly.

United Utilities Water Limited, Haweswater House, Lingley Mere Business Park, Lingley Green Avenue, Warrington WA5 3LP.

Registered in England and Wales. Registered Number 2366678.

01/21/SD/8814-6231a

□ □ □ □ □

□□□□□□□□□□

□

I aAunited

'1::, Utilities

Water for the North West

WaterSure scheme

Application form 2021/2022

This information is required to assess your claim and

will not be used for any other purpose.

IMPORTANT - please read:

To qualify for WaterSure, you must have a water meter or pay for your water services on an assessed charge.

You must also receive at least one of the benefits shown below.

About benefits or tax credits

1 Are you, or someone in your household, receiving any of the

following benefits or tax credits? Please note: you must receive

at least one of the following benefits to qualify for WaterSure.

(Please tick all that apply.)

Income Support

Income-based Jobseeker’s Allowance

Working Tax Credit

Child Tax Credit (not just the family part)

Housing Benefit

Pension Credit

Income-related Employment and Support Allowance

Universal Credit

2 Please give the name of the person who receives one or more of

the above benefits or tax credits.

Name

You must complete this section

1 To qualify for WaterSure,

someone in your household must

be receiving at least one of the

benefits or tax credits listed.

You must provide a photocopy of

the latest ‘notice of entitlement’

for the benefits or tax credits.

The ‘notice of entitlement’ must

be less than one year old for a

benefit or shows the current

financial year’s entitlement for

tax credits.

If you do not have a notice

you can get a replacement by

contacting your local authority,

benefit agency or HM Revenue &

Customs. (See ‘Useful contacts’

on page 3.)

We are unable to accept tax

credit provisional notices as they

do not confirm entitlements.

Notes

Who is the person named on the water bill?

3 Mr Mrs Miss Ms Other

First name

Last name

For further

information

6 Postal Address

unitedutilities.com/

watersure

Postcode:

Daytime telephone number

8 Evening telephone number

0345 672 2999

Mobile phone number

Opening hours: 8am - 8pm

Mon to Fri; 8am - 4pm Sat

9 Customer account number (you can find this on your water bill)

What to do now if you have ticked at least ONE of the benefits shown above

If you are applying because of a medical condition, go to page 2

If you are applying because you have a large family, go to page 3

United Utilities

PO Box 50

Warrington

WA55 1AQ

□

Fill in this page if you are applying because of a medical condition

Medical conditions needing extra water use Notes

10 Please tell us the name of the person in your household who has a medical condition that means

they have to use a lot of extra water.

11 Which of these medical conditions do they have? (Tick all that apply.)

a) Desquamation (flaky skin disease)

b) Weeping skin disease (eczema, psoriasis, varicose ulceration)

c) Incontinence

d) Abdominal stoma

e) Renal failure where they need home dialysis

(do not tick if the health authority helps with water costs)

f) Crohn’s disease

g) Ulcerative colitis

h) Another condition which means they have to use a lot of extra water

(please tell us the name of this condition)

Surgery or health centre official stamp

10 We need to know the name of

the person with the medical

condition.

11 Please tell us the medical

conditions the person has by

ticking all the relevant boxes.

Important - If you tick one

of the named conditions

listed at a) to g), please give

us a copy of your repeat

prescription form or ask your

doctor’s surgery to stamp

the box below. You can also

send us a doctor’s certificate

which is less than 12 months

old, explaining your condition

and why you need to use extra

water. You can ask for copies

of these from your surgery,

clinic or hospital.

If you do not have the

prescription or certificate,

please provide some other

evidence that you have the

condition and why you need

to use extra water.

or If you tick h) ‘Another

condition’ you must include

a doctor’s certificate or

letter from a GP or hospital

consultant. The letter or

certificate must say:

• the name of the patient;

• the condition they have

and how this condition

significantly increases water

consumption;

• the date the certificate or

letter was issued (which

needs to be less than 12

months old); and

• the name, position and

address of the GP or

consultant.

Priority Services - free services for customers who need

additional support

If you have ticked any of the above medical conditions, you will also be eligible for

our free Priority Services scheme (whether you receive benefits or not), offering

a range of free services to support our customers’ particular needs. If you would

like to register or find out more, visit unitedutilities.com/priorityservices or call

our friendly Priority Services team direct on 0345 072 6093.