Grant application form

Step 1 of 13

How do you currently heat your home?*

Electric Heating

Oil Heating

Gas Boiler (15 years or older)

Gas Boiler (under 15 years old)

Not qualified

Sorry, you don't qualify at the moment. Please try again in the future.

What best describes your housing ownership status?*

Homeowner

Tenant (Private)

Tenant (Social)

Private Landlord

Other

Not qualified

Sorry, you don't qualify at the moment. Please try again in the future.

Does anyone in your household claim any of the following benefits?*

Income Based Jobseekers Allowance (JSA)

Income Related Employment & Support Allowance (ESA)

Income Support (IS)

Pension Credit Guarantee Credit

Working Tax Credit (WTC)

Child Tax Credits (CTC)

Universal Credit (UC)

Housing Benefit

Pension Credit Savings Credit

Does any of the following apply*

Have a household income of less than £31,000

Your EPC band E, F or G

You’ve been referred to us by the NHS or your local authority

You may still qualify
for grant funding

Please go to the contact us page.

Where are you located

Some local authorities have addition funding available, your postcode lets us know if you qualify

Address Line 1*

Address Line 2*

Post code*

Town*

County*

Country*

We don’t store your postcode until you complete the form. We never share data with any other organisation

Congratulations, you qualify
for grant funding

Title

First Name*

Last Name*

Email*

Mobile number*

How did you hear about us

What is your property type?*

Terrace

Detached

Bungalow

Semi-detached

Flat

Maisonette

How many bedrooms do you have?*

How do you heat your home?*

Electric Room Heaters

Electric Storage Heaters

Gas/Fire Wall Heaters

Gas Central Heating with Radiators

Solid Fuel Back Boiler

Log Burner/Solid Fuel Room Heaters

Electric Boiler

LPG

Oil Boiler

Other / Not Sure

Which of the following measures are you interested in?

Solar PV

Roof Insulation

Boiler Upgrade

Wall insulation

First Time Central Heating

Air Source Heat Pump

Not qualified

Not qualified

You may still qualify for grant funding

Where are you located

Congratulations, you qualifyfor grant funding

You may still qualify
for grant funding

Congratulations, you qualify
for grant funding