Register as a priority customer

Register as a priority customer

By completing and submitting this priority service registration form you are providing Electricity North West with your consent to use your personal data to include you on Electricity North West’s Priority Services Register (PSR) and to process your personal data for the purposes of operating the PSR, including providing you with support should you experience a loss of electricity supply.

The fields marked with an asterisk (*) are required.

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This field is required This field has a maximum limit of 15 characters
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This field is required This field has a maximum limit of 15 characters
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This field is required Mobile numbers should be between 11 and 25 digits long
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Landline numbers should be 11 digits long
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This is not a valid email address (e.g. johnsmith@domain.com) This field has a maximum limit of 100 characters
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{[{user.AddressLine1}]}, {[{user.BuildingName}]} {[{user.AddressLine2}]}, {[{user.AddressLine3}]}, {[{user.City}]}, {[{user.Postcode}]}

Wrong address? Re-enter it again or click below to enter your address manually.

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This field is required This field has a maximum limit of 30 characters
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This field is required This field has a maximum limit of 970 characters
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This field is required This field has a maximum limit of 80 characters
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This field has a maximum limit of 30 characters
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This field is required This field has a maximum limit of 30 characters
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This field is required This field has a maximum limit of 10 characters
Postcode is not within the Electricity North West area
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Contact preference

Contact methods
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Chronic / serious illness
Medically dependent
Safety
Poor mobility
Age related
Communication difficulties
Mental health
Temporary
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I can confirm that all of the information that I have given you is correct.
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Information Please note that if you are registering on behalf of someone else and are nominating yourself as next of kin please be aware we will make direct contact with the individual being registered to confirm consent for their personal data to be processed as set out in this form.
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Information Humans tick here