All questions must be answered, unless marked (optional) Third Party Deduction form Please fill in this form to start the process. Your EDF Account number You can find your account number: - On your EDF Energy bill (top right hand corner) - In your “Start Managing Your Account” email from EDF Energy - In MyAccount on the top right hand corner of the page Your account number is 12 digits long and it starts with ‘67’ First Name in full Please provide the first name on your EDF Energy Account Surname Please provide the surname on your EDF Energy Account E-mail address (optional) Postcode (optional) Address line 1 (optional) Address line 2 (optional) Town / City (optional) County (optional) Meter Reading (Gas) (optional) Providing your meter reading will speed up the processing of your request. Only provide a reading if it is safe to do so. Meter Reading (Electric) (optional) For Economy 7 Meters please submit the Day Read here and the Night Read in the next field. Providing your meter reading will speed up the processing of your request. Only provide a reading if it is safe to do so. Meter Reading (Economy 7 Night Read) (optional) If you have an Economy 7 Meter please submit Night Read here. First name of the Benefit Holder Last name of the Benefit Holder Date of Birth of the Benefit Holder Day (optional) Day12345678910111213141516171819202122232425262728293031 Month (optional) MonthJanFebMarAprMayJunJulAugSepOctNovDec Year (optional) Year190319041905190619071908190919101911191219131914191519161917191819191920192119221923192419251926192719281929193019311932193319341935193619371938193919401941194219431944194519461947194819491950195119521953195419551956195719581959196019611962196319641965196619671968196919701971197219731974197519761977197819791980198119821983198419851986198719881989199019911992199319941995199619971998199920002001200220032004200520062007200820092010201120122013 What type of benefit is the Benefit Holder in receipt of? - Select -Income SupportEmployment Support, Allowance (ESA)Jobs Seekers Allowance (JSA)Pension CreditsUniversal Credit (UC) National Insurance number of the Benefit Holder A National Insurance Number is made up of two letters, six numbers and a final letter, which is always A, B, C, or D. Has the customer had two failed repayment plans in the last 12 months? Yes No Is the customer at the enforcement stage of debt collection journey? Yes No By submitting this form, I confirm I have read the EDF Energy privacy policy.