Boiler Replacement Grant Application

1
What is your relationship to your property?* This field is required.
Homeowner (Or a Family Member Living at the Property)
Private Tenant (Renting to a Landlord)
Landlord
Council Tenant
2
Please select one of the benefits you are in receipt of* This field is required.You only need to be in receipt of one of the qualifying benefits to access the funding.
Tax credits; Child and Working Tax Credits
Child Benefit
Personal Independence Payment Allowance
Disability Living Allowance
Carer’s Allowance
Income Support
Universal Credit
Attendance Allowance
Industrial injuries disablement Allowance
Severe disablement Allowance
Income-related employment and support allowance
Income-Based Job Seeker’s Allowance
State Pension Credit (In receipt of Pension Credit Guarantee Credit or both Guarantee Credit and Savings Credit)
War Pensions Mobility Supplement
Armed Forces Independence Payment
Constant Attendance Allowance
None Apply
3
Is it a Joint Claim or Single?
Single
Joint
4
How many Children do you claim for?
1 Adult, 0 Children
1 Adult, 1 Children
1 Adults, 2 Children
1 Adult, 3 Children
1 Adult, 4 or more Children
5
How many Children do you claim for?
2 Adult, 0 Children
2 Adult, 1 Children
2 Adults, 2 Children
2 Adult, 3 Children
2 Adult, 4 or more Children
6
(CBS) Is the Household Income Less than £18,500?* This field is required.This includes your total income, including income from a Job and any benefits being received within the household.
YESNO
7
(CBS) Is the Household Income Less than £23,000?* This field is required.This includes your total income, including income from a Job and any benefits being received within the household.
YESNO
8
(CBS) Is the Household Income Less than £27,500?* This field is required.This includes your total income, including income from a Job and any benefits being received within the household.
YESNO
9
(CBS) Is the Household Income Less than £32,000?* This field is required.This includes your total income, including income from a Job and any benefits being received within the household.
YESNO
10
(CBS) Is the Household Income Less than £25,500?* This field is required.This includes your total income, including income from a Job and any benefits being received within the household.
YESNO
11
(CBS) Is the Household Income Less than £30,000?* This field is required.This includes your total income, including income from a Job and any benefits being received within the household.
YESNO
12
(CBS) Is the Household Income Less than £34,500?* This field is required.This includes your total income, including income from a Job and any benefits being received within the household.
YESNO
13
(CBS) Is the Household Income Less than £39,000?* This field is required.This includes your total income, including income from a Job and any benefits being received within the household.
YESNO
14
Type of Property* This field is required.
House
Flat
Bungalow
Park Home
15
Details of Property* This field is required.
Detached
Semi-Detached
Mid-Terraced
End-Terraced
16
Details of Property* This field is required.
Detached
Semi-Detached
17
Wall Type* This field is required.If you aren't sure on your wall type, we can check this for you once you have submitted your application.
Cavity
Solid Brick
System Build
Timber Frame
Not sure
Other
18
Number of Bedrooms* This field is required.
1 Bed
2 Bed
3 Bed
4 Bed
5 Bed
6+ Bed
19
Select Your Fuel Type* This field is required.
Mains Gas
LPG
Oil
Solid Fuel
20
Boiler Type* This field is required.
Combi Boiler
System Boiler
Regular/Heat Only
Back Boiler
Don't Know
21
Is your current boiler older than 4 years?* This field is required.
YESNO
22
Is your current boiler older than 5 years?* This field is required.
YESNO
23
Congratulations, you qualify for a Grant!All we need now is a few details. Start by telling us your name.
Mr.
Mr.
Mrs.
Miss
Dr
Prefix
First Name
Last Name
24
Choose your preferred boiler
Worcester with 2 year Warranty
Viessmann with 7 year Warranty
25
Contact InformationPlease make sure this is correct. We receive many applications for funding with incorrect contact numbers and this means we are unable to process your application. You will be emailed confirmation of your application once submitted. *Your Information will only be used to process your application for funding and communicate with you about your Boiler*
Please enter your email
Home Phone
Mobile Number
26
Property Address* This field is required.Start typing your address and select from the options.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
27
Are you interested in any other measures?Because you qualify for a boiler replacement grant, you may qualify for the below too.
Hive Heating Controls
'Room in Roof'
Underfloor Insulation
28
Where did you hear about us?To help us raise awareness on the funding, it would help us greatly if you could answer the below
Facebook or Instagram
Google/Internet Search
Friend Referral
Contact Centre
HSP (Homeless Support Project)
Word of Mouth
Leaflet
Other
29
Do you agree to our terms and GDPR policy?* This field is required.
30
Thank you for your interest in applying for the funding.

Unfortunately, you do not qualify for the funding at the current time. We are sorry for any inconvenience caused.

The ECO scheme can change at any time, so whilst you may not qualify today, you could do so in the future. Therefore we recommend following our social media to stay up to date with the latest news.
31
Thank you for your interest in applying for the funding. Unfortunately, funding for Privately Rented properties is not available until January.

However, based on the information you have provided, you do qualify for the ECO Scheme so if you would like us to keep your application until January, please continue by clicking "Submit".
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