To obtain your FREE grant we first need to see if your property qualifies..

Select the type of property you live in *

Have any of the following already been installed at your property? Please select each one. If you don't know then select "Don't Know". *

Please enter your property address..

We also need some personal information..

Do you currently receive any of the following benefits? *

Select your combined household income.. *

Do you suffer from any of the following medical conditions? *

How many adults over 18 live at the property? *

Finally we need to know who you are..

Please enter your first name.. *

Now enter your surname.. *

Date of birth *

Please select your date of birth dd/mm/yyyy

Please enter a valid email address.. *

Please enter your mobile telephone number.. *

Please review your address

Name / Number

Address

City

State

Postal code

We now have everything we need.

Remember, if you and your property qualifies for a grant you will no have to pay a penny.

Any measures are completely free and funded by the grant.

Please press the finish button.