Are you the legal owner of the property?
*
Yes
No
Who is the Legal owner?
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Family member
Landlord
Other
What is the full name of the legal owner? (if they are a family member how are they related to you?)
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Are benefits in your name?
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Yes
No
Not applying through benefits route
Whose name are benefits in?
What is the Date of Birth for the person claiming the benefits? This is required so a data match can be carried out.
Does the benefits recipient Consent to Data Match? We don't see what benefits are claimed?
*
Yes
No
Is your household income less than £31,000 per year from all sources?
Yes
No
Does anyone in your home have a health condition made worse by living in a cold home?
*
Yes
No
What is the main source of heating at your home? Please provide make/model/age information.
Are you able to take heating photographs?
*
Yes
No
Don't Know
Please upload photographs of your heating. This is one of the most important steps to get your application to the top of the priorities list.
Upload photos (pdf, jpg, png accepted)
Has your home had an ECO Grant previously?
Yes
No
Don't know
Have there been any changes to your home that might affect its Energy Performance Certificate rating?
What is the best email to reach you on?
*
When is the best time to call you about the application?
*
What phone number should we call you on?
*