To set up a new direct debit instruction please click on the link below to print and complete the form.
If you are changing your bank account details you will also need to complete a new direct debit instruction.
Please enter your name and bank details. In the reference box add your Sure account number, which can be found on your bill. If your do not know you Sure account number please add your service number in the ‘FOR OFFICIAL USE ONLY’ box.
Please sign and date the completed form then either post or email back to us –