Vulnerable customer registration form

*Fields are mandatory

To register for priority or special services, please complete the relevant sections of the below form.

Full name of vulnerable customer

Irish Water will send the vulnerable customer (or their alternative contact) a text message with details of any relevant supply interruption over four hours in duration. Please contact Irish Water on 1850 278 278 if you would prefer to receive a phone call or do not have a mobile number.

Priority services register


Do you wish to register yourself or somebody in your home for priority services (for those critically dependent on water for a medical condition).

This register will allow us to identify customers in most need of priority services. To help us ensure we meet that commitment, we may seek proof of your medical condition.

Special services register


Do you wish to register yourself or somebody in your home for special services?

How would you describe the person registering for special services?

Services for blind or vision impaired customers


Please indicate below if you would like to receive further correspondence:

Full name of account holder


Please provide your supply address

Please contact Irish Water on 1850 278 278 if you do not have your WPRN to hand.
Find your Eircode here

Contact details

Irish Water will send the vulnerable customer (or their alternative contact) a text message with details of any relevant supply interruption over four hours in duration. Please contact Irish Water on 1850 278 278 if you would prefer to receive a phone call or do not have a mobile number.

Account details

Please contact Irish Water on 1850 278 278 if you do not have your account number to hand.


Nominate an alternative contact

Please provide your supply address


Find your Eircode here

Contact details


Consent


Irish Water will process personal data provided in accordance with Irish Water's Privacy Notice.

Irish Water may share such information with authorised agents or third parties who act on behalf of Irish Water to enable us to provide the services set out in the Domestic Vulnerable Customer Code of Practice (the 'Code').

By providing such information to Irish Water and clicking 'Send' below, you, the account holder, consent to Irish Water collecting, using, transferring and disclosing your personal data as described in the Privacy Notice and the Code.

Where the vulnerable customer is not the account holder, by providing their personal data and clicking 'Send' below, you, the account holder, confirm that the vulnerable customer has consented to you providing their personal data and to Irish Water collecting, using, transferring and disclosing your personal data as described in the Privacy Notice and the Code.

Back to the top