General Application Form

This form will only take you a few minutes to complete but could save you thousands of pounds on your energy bills and tens of thousands of pounds in installation costs. Every household will have to improve their energy efficiency eventually so why not get it done for free if you can. The more complete and accurate the information we receive the quicker we can assess whether you qualify for free energy efficiency measures to be installed.

Free Renewable Home Upgrades for Eligible Households.

(Not just households receiving benefits)

You might be able to get help with energy-saving improvements to your home for free via two schemes:

HHCRO - Help To Heat for benefit claimants or Local Authority Flexibility Funding (LA Flex) for households not claiming benefits

Please complete the sections relevant to your household circumstances.

First Name

Last Name

Address Line 1

Address Line 2

City

Post Code

Phone/Mobile

Where did you hear about us?

HHCRO - The Affordable Warmth Obligation - Free to households with anyone on a qualifying benefit living in the property.

You could be able to get help for energy-saving improvements to your home for free if you either:

Claim certain benefits and live in private housing (for example, you own your home or rent from a private landlord)
Live in social housing

Is Anyone In Your Household Claiming Any Of These Benefits?

If you claim benefits and live in privately owned or rental housing, you may be eligible for help if you get one of the following benefits:

Local Authority Flexibility - Free for All Qualifying Households

You could qualify for energy-saving improvements to your home if you meet any of these conditions:

Route 1: Household Income
Route 2: Proxy Targeting
Route 3: Local GP Medical Referral
Route 4: Bespoke Targeting

Route 1 Qualification (Household income)

Please choose the relevant option

Is Your Total Household Income Less Than £31,000 a year?

Yes

How many children do you have living in the household?

Route 2 Qualification - Please choose two of the following that apply to your home. (Need two to qualify)

Do you live in a household:

Please choose the relevant options

Household suffering from cardiovascular conditions or,

Household suffering from respiratory conditions (in particular, chronic obstructive pulmonary disease and childhood asthma) or,

Household suffering from mental health conditions or,

Household suffering disabilities or,

Household with an older person (65 and older) or,

Part of household with young children (from new - born to school age) or

Household with a pregnant woman

Route 3 Qualification - Local GP Medical Referral (Long term medication or treatment)

Please select any of the following:

A respiratory disease (asthma and other breathing conditions, etc)

A cardiovascular condition (any current or past related heart conditions, medication, etc)

Limited mobility (muscular dystrophy, arthritis, cerebral palsy, physical disabilities, etc)

Immunosuppressions (cancer, any degenerative diseases, suppressed immune system, etc)

GBIS Qualification - (Great British Insulation Scheme)

Council Tax Band

Property Information and Tenure

Do You Own Or Rent Your Home?

Please choose the relevant option

Tenure

Property Type

No. of Bedrooms

Main Heating Type

Do you have solar panels ?

Energy performance certificate rating as per EPC Register

What energy saving measures are you interested in?

All information is managed in accordance with GDPR UK. More information here Data Protection UK