Information for Housing 21's Extra Care residents wanting to pay for care online

Care Payments

Information from your bill

Customer Invoice Number *

Enter your Customer Invoice Number

Payment Amount *

Enter Payment Amount

Billing Details

Full Name *

Enter your Full Name

First line of address *

Enter the first line of your address

Second line of address

Enter the second line of your address

Town or City *

Enter the name of your Town or City

County

Enter your county

Postal Code *

Enter your Postal Code

Contact Details

Telephone Number

Enter your Telephone Number

Email Address *

Enter your Email Address

Data Protection

Consent for storing submitted data *

Yes, I give permission to store and process my data

Security Check *