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Your Grant Application

1About You

2Your Home

3Your Details

About You
Help & Advice
Are you a homeowner?*
- Yes
- No
If no then we will require landlord permission, please enter landlord/agent details: name, telephone
Type of Rental*
Type of Rental
Landlord Name*
Enter your landlords name
Landlord Number*
Enter your landlords contact number
Landlord Address*
Enter your landlords Address
Landlord Email*
Enter your landlords email
Rented Company Name*
Enter Rented Company Name
Rented Company Number*
Enter Rented Company Number
Are you or anyone in your household in receipt of any of the following?*
- Standard Child Benefit (£20 per week)
- Over age of 60
- Child Tax Credits
- Income related Employee Support Allowance
- Income related Job Seekers Allowance
- Income support
- Pension Guarantee Credit
- Working Tax Credits
- Universal Credits
- Disability Living Allowance
- Personal Indepence Payment
- Attendance Allowance
- Carers Allowance
- Sever Disablement Allowance
- Industrial Injuries Disablement Benefits
- Ministry of Justice Benefits
- War Pensions Mobility Supplement
- Constant Attendance Allowance
- Armed Forces Independence Payment
- None
- Housing Benefit
- Pension Credit Saving Credit
- Less than £31,000 household income
- A respiratory disease
- A cardiovascular condition
- Limited mobility
- Immunosuppression
You DO NOT have to be on benefits to qualify, please select the following that apply to anyone living in the household
Type of Claimant?*
Type of Claimant?
How many children in household?*
How many children in household?
Is your income before tax and national insurance equal to?*
Is your income before tax and national insurance equal to?
*3.137 Where Child Benefit is used to evidence HTHG eligibility, suppliers should collect evidence of the occupier’s bank statement, payslips or P45 showing both that Child Benefit payments can be provided and that the occupier’s income is within the ECO4 Child Benefit thresholds, see below in Table 3.

Child Benefit income thresholds Table 3 provides the figures for the ECO4 Child Benefit income thresholds.

Source: "ECO 4 Delivery Guidance v01 publication" https://www.ofgem.gov.uk/publications/draft-energy-company-obligation-eco4-guidance-delivery-v01

Your Home
Help & Advice
What type of property are you applying for?*
Please select from drop down list
How many bedrooms does the property have?*
- 1
- 2
- 3
- 4
- 5
- 6+
Please select from the list
What is the main fuel type which heats this property?*
- Gas boiler
- Electric storage heaters
- Oil boiler
- LPG boiler
- Solid fossil fuel boiler
- Electric room heaters
- Gas room heaters
- Solid fossil fuel room heaters
- Electric boiler
- Air source heat pump
- Ground source heat pump
- Bulk LPG
- Gas Warm Air System
- Gas Fire with Back Boiler
- Gas Back Boiler To Radiators
- Biomass Boiler
- Micro Combined Heat & Power System
- None
- Unsure
Please select from the list
What is your boiler type?
Unsure? Here are some quick tips to help usually identify if your boiler is non-condensing or condensing… When was your boiler installed? all gas boilers installed after 2005 should be a energy efficient condensing and/or combi boiler heating system. Do you have a metal flue? This usually is a sign that your boiler is non-condensing.

Your Details
Help & Advice
First Name*
Please enter your first name
Last Name*
Please enter your last name
Contact Number*
Please enter your contact number
Email Address*

Please enter your email address
Your Address*
Please enter your address
Town
Please enter your town
Postcode*
Please enter your postcode
Interested in:
- Loft insulation
- (Heating) First Time Central Heating
- (Heating) Bolier Replacements
- Energy Performance Certificate
- Cavity wall insulation
- New Build
- Other
- Night Storage Heaters
- Room In Roof Insulation
- Internal Wall Insulation
- External Wall Insulation
- Flat Roof Insulation
- Party Wall Insulation (Cavity)
- Solar PV
- Under Floor Insulation
- (Heating) Air Source Heat Pump
- (Heating) Electric Storage Heater Upgrade
Please select from the list
Is their an existing gas meter at your property?*
Please select
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Services

Cavity Wall Insulation
External Wall Insulation
Internal Wall Insulation
Loft Insulation
Room in Roof Insulation
Flat Roof Insulation
Under Floor Insulation
Boiler Upgrade
First Time Central Heating
Heating Controls
Solar PV
Air Source Heat Pump
Electric Storage Heaters
Non Condensing Boiler Replacement
Back Boilers Replacement
Warm Air Heating System Replacement

Contact Us

info@lifetimesavings.co.uk

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