Priority Services Register (PSR) sign-up form

Phone

This field is for validation purposes and should be left unchanged.

The Priority Service Register (PSR) is a free service for heat network residents who may need additional communication, safety or accessibility support. The information you provide will remain confidential and will only be used to ensure you receive the appropriate support.

Unsure if you are on a heat network? A heat network is where there is a shared/communal heating system to provide heating and hot water to multiple homes from a central source (rather than having a boiler in each specific property). If you have a boiler in your property, you will not be on a heat network.

Select all the options that anyone in your household can identify with:

Pensionable age

Long-term or chronic illness

Disability or sensory impairment

Would you like to receive our communications in an alternative format?

Need help with communication or language

What is your first language?

Full-time carer or live with children aged 5 or under

Date the youngest child in household turns 6 years old

Temporary life changes (e.g. pregnancy, financial difficulties)

To help us understand your situation and offer the right support, you may provide any additional information about your temporary circumstances. If you’re able to, please also include an estimated date when you think things might change.

Additional information

Estimated change date

I would like to nominate someone I trust to act on my behalf and receive heating and emergency communications related to my property.

First name

Last name

Email address

Phone number

I would like FirstPort to use a password when contacting or visiting me.

Passwords should include letters only and be no more than six characters long.*

If your circumstances aren’t covered by the criteria above but you feel you would benefit from additional support, please tell us more about your situation. Any information you feel comfortable sharing helps us understand your needs and assess how we can best support you. Your information will remain confidential and will only be used for Priority Services Register support.

If your circumstances are not covered by the criteria above but you feel you would benefit from additional support, please tell us more about your situation.

Resident details (this can be you or someone else in your household)

Property owner status:

Owned

Renting

First name

Last name

Account number

First line of address

Postcode

Email address

Phone number

Preferred contact method

Phone

Data Privacy Statement

The personal data you provide in this form will be used by FirstPort Group Limited (FirstPort) to identify who may require additional support, tailored communication, or priority services in the event of issues, emergencies or interruptions relating to your heat network.

Your information will be processed under the UK General Data Protection Regulation (UK GDPR) and the Data Protection Act 2018. We will only share your data with third parties where it is necessary for delivering essential services. For example, emergency contractors, utility providers or where we are legally required to do so. We will never use your data for marketing purposes.

The data you provide will be stored securely and retained only for as long as you remain registered for priority services or as required by law. You may update or request removal from the PSR at any time.

More information on how we process personal data can be found in our privacy notice.

Acknowledgment

By submitting this form, I confirm that the information provided is accurate and complete to the best of my knowledge. I acknowledge that my personal data will be processed for the purpose of managing the Priority Services Register in accordance with applicable data protection and energy legislation.