Email *

Are you a current customer *

• Yes
• No

Tick the company that you are a customer of *

• Huddle Utilities
• Other

What is your account number? *

Name *

First

Last

What is your supply address? *

What is your contact number? *

How would you like us to contact you?

• Email
• Phone
• Both

Please tick as appropriate

• Home Owner
• Rent from private landlord
• Housing Association or Local Authority

Please provide a current electricity meter reading *

Please provide a current gas meter reading

Please provide a short summary outlining any difficulties that have affected you paying your gas and electricity bills. *

Do you have any dependants living in your property? If so, how many? *

What do you expect to receive from the trust? *

• Financial Help
• Advice and Support
• Both

How did you hear about us?

Submit