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Citizens Advice Bath & North East Somerset

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Energy Redress voucher scheme

Do you have a pre-payment meter? *

This scheme is only available to energy customers with prepayment meters.

Name

Date of birth *//

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Please tick which ways you are happy for us to contact you by. *

Phone
Voicemail
Text
Email
Letter

Please tick as many as possible to make it easier for us to support you.

Phone number *

Email *

Email

Confirm Email

Please tell us a little bit about your household

Please tick the statements that apply to you

I live alone.
Other than myself, there is at least one person over 18 living in my household.
There is at least one person under 18 living in my household.

How many dependents between 13 - 17 years old live in your household?

How many dependents between 0 - 12 years old live in your household?

Your energy details

Do you top up your prepayment meter by either smartcard or key? *

Please enter your card number or key number to allow your voucher to be attached to your account. *

This avoids your voucher being used by another person

Does British Gas supply either your gas or electricity? *

How would you like to receive your fuel top up voucher? *

How have you been affected by Covid-19? *

Employment issues (lost job, furloughed, made redundant...)
Reduced income (loss of job, reduced hours...)
Increased bills (food, utilities...)
Childcare issues
Mental health issues (stress, anxiety, depression)
Physical health issues (new condition or worsening of existent condition)
Family or relationship issues
Discrimination issues (age, race, gender, religion...)

Data protection *

I agree to Citizens Advice - Bath & North East Somerset storing and using information about me

We keep your details on our database which is confidential to Citizens Advice. The details we take are to enable us to give you the appropriate advice. They aren’t accessed by anyone else except in the case of gathering feedback on our service which is also done confidentially. We don’t sell your data to anyone.

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Citizens Advice Bureau Bath and North East Somerset is a local charity and company limited by guarantee.
Charity Registration Number: 1025392
Company Registration Number: 2845028 England.
Registered office: 2 Edgar Buildings, Bath, BA1 2EE
Financial Conduct Authority Number: 617504

© 2020 Citizens Advice Bath & North East Somerset

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