Fill out the form below to find out if you are eligible for the current funding. Please rest assured, you will not be committing to anything – this is just to see if you and your property meet the required criteria for the funding.
Your Name (required)
Credit/Benefit (If 'Other' please state in Additional Info box at the bottom of the form) Pension Credit Guarantee Credit ElementIncome-related employment and support allowance (ESA)Income-based jobseeker's allowance (JSA)Working and child tax creditsUniversal creditChild benefitArmed forces independence paymentWar pensions mobility supplementAttendance allowanceIndustrial injuries disablement benefitCarer's allowancePersonal independence paymentDisability living allowanceConstant attendance allowanceSevere disablement allowanceOther
Property Type —Please choose an option—DetachedSemi-detachedBungalowEnd TerraceMid TerraceOther
Property Build Type —Please choose an option—Solid soneCavity wallTimber wallOther
Owned or Rented —Please choose an option—OwnedRentedHousing AssociationCouncil Property
Address
Type of Boiler —Please choose an option—CombiSystemBack BoilerRange (AGA/Stanley)Electric Storage HeatersOther/Unsure
Fuel Type —Please choose an option—Heating OilKeroseneLPGSolid FuelMains GasElectric BoilerElectric Storage HeatersOther/Unsure
Number of Bedrooms
Date of Birth
Your Email (required)
Landline Number
Mobile Number
Additional Infortmation
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