Step 1 of 5 20% CompanyThis field is for validation purposes and should be left unchanged.What is your housing status?(Required) Homeowner Tenant (Private) Tenant (Social housing) Private Landlord Does anyone in your household claim any of the benefits below?(Required) Income Based Jobseekers Allowance (JSA) Income Related Employment & Support Allowance (ESA) Income Support (IS) Pension Credit Guarantee Working Tax Credit (WTC) Child Tax Credits (CTC) Universal Credit (UC) Housing Benefit Pension Credit Savings No What best describes your current situation?(Required) 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 Have a household income of MORE than £31,000 Do you have a gas boiler? Yes No Was your boiler installed before or after 2009? Before After You could be eligible, Let's collect some last bits of info and we will email you your results for grant funding. Unfortunately you are not eligible, Address(Required) Street Address Address Line 2 City County ZIP / Postal Code Title(Required)DrMrMrsMissMsName(Required) First Last Email(Required) Phone(Required)
