Run off allowance (H1)

Your Details

Company Name*:

As it appears on your water bill

Premises Name:

Premises Number & Street*:

Town/City*:

Postcode*:

Customer Name*:

Contact Number*:

Email Address:

Meter Serial Number:

If available, your meter serial number will appear on your bill.

Reason for running water*:

e.g. discoloured water

How long did you run the water for?* (in hours):

Were you instructed by South Staffs Water to run the water?*:

Yes
No

What date did this occur?*:

Today

Meter read taken after the water had been run*:

Please provide any evidence to support your claim:

Please provide any other information or documentation you think will help.

Additional documentation: