Pay Your Bill

Title: * Mr Mrs Ms Master Miss Dr Rev

First name: *

Surname: *

Telephone (Home):

Telephone (Work):

Telephone (Mobile):

Please indicate your preferred daytime number: * Home Work Mobile

Email:

House Name/Number: *

Road/Street Name: *

Town:

City:

County:

Postcode: *

United Utilities Account number: *

Always read from the left, read the black and white digits only. Please ignore the red digits. Please insert a zero in any remaining blank boxes.

Meter Serial No. (if known):

Meter Reading: *

Reading taken on: * Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month January February March April May June July August September October November December Year 2004 2005 2006 2007 2008 2009

Reason for providing this reading: * Someone came to read the meter but couldn't and left a 'No Access Card' You have received a letter asking you to provide a meter reading. You have received an estimated bill. You have an arrangement with United Utilities to enter readings on set dates.