Register as vulnerable/Get extra support Please complete the form if anyone in your household is classed as Vulnerable or needs extra support. Dependent on the vulnerability listed, we will periodically contact you to confirm you still need to be registered as vulnerable. Name* First NameLast Name Account number eg 1234-5678 Address* Street Address Street Address Line 2 CityCounty Postal / Zip Code Email* example@example.com Phone Number* -eg 07890eg 567890 Vulnerability* State Pension age or olderRegistered as DisabledPhysical/Mental IllnessChild under the age of 5BereavementLow income Do you need extra support from us? Please add anything here that you need to let us know about Please email us to let us know if you no longer need to be on the vulnerable customer register. Submit Should be Empty:
