Direct Debit form

To set up a new Direct Debit instruction please click on the link below to print and complete the form. 

The name on your bank account must match the name on your Sure account.

The reference must be your Sure account number, which can be found on your bill. 

If you do not know your Sure account number please add your service number in the ‘FOR OFFICIAL USE ONLY’ box. 

If you are changing your bank account details you will also need to complete a new direct debit instruction. 

Please allow 2 weeks for the instructions to be processed and added to your account, you will need to pay any outstanding bills by another method.

Direct Debit payments are claimed on the last working day of each month.

Please sign and date the completed form then either post or email back to us –


Post:     Credit Control Department

              Sure (Guernsey) Ltd

              P.O.Box 3

              St Peter Port


              GY1 3AB

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