Leak allowance application form

All wholesalers may offer a leak allowance for leakages found on the meter. South West Water and Bournemouth Water may offer a one off leak allowance for leakages found on the underground supply pipe provided they are repaired within 1 month of becoming aware. You must read the information about leaks and allowances before filling in this form.

Leaks and Allowances

Customer/company name * :

Customer reference number (10 digits) * :

Premises name * :

Premises number & street name * :

Town/City * :

Postcode * :

Contact telephone number * :

Email * :

Meter details (if available) e.g. meter serial number * :

What alerted you to the possibility of a leak? (high bill visible leak etc) * :

When were you alerted? * :

How was the leak confirmed? * :

When was the leak confirmed? * :

Where was the leak? * :

Supporting pictures or drawings showing location of leak::

When was the leak repaired * :

Details of the repair including evidence (include attachments below) * :

Attachments:

Meter read taken after the repair * :

Date of meter read * :

Any additional information that may help your claim:

Please note, that if your water and sewerage services are provided by separate retailers, you may need to contact each retailer to raise this request.