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Age UK Free Boiler Grants

Government Grants For Home Improvement 2

If you are claiming PENSION CREDIT and your boiler is over 18 years old you may be able to claim a Free Boiler Grant from the Government .

Take A Short Survey Below. We Will Contact You If You Qualify

SCHEME ENDS MAR 31

Age Uk Free Boiler Survey

Step 1 of 13

7%

What Is Your Existing Boiler Type ?*
- Back Boiler Behind The Fire
- Boiler With A Cylinder Attached
- Combi Boiler - ( No Tanks Attached )
- No Heating System Fitted
- Unsure

Please Confirm Your Boiler Age*
- Boiler OVER 17 Years Old
- Boiler LESS Than 17 Years Old
- Unsure Of Boiler Age
Boilers Installed After 2005 Will Be REJECTED Back Boilers Can Be Any Age

Which Benefit Do You Receive?*
- Pension Credit
- Housing Benefit
- Tax Credits
- Job Seekers / Income Support
- Child Benefit
- Employment & Support Allowance
- Universal Credit

When Was Your Boiler Installed ?*
- Boiler Installed BEFORE 2005
- Boiler Installed AFTER 2005
- Unsure
Boilers Installed After 2005 Will Be REJECTED Back Boilers Can Be Any Age

Do You Own The Property ?*
- I Am The Home Owner
- I Live With The Home Owner
- Private Rented - NOT ELIGIBLE
- Council / Housing Association -NOT ELIGIBLE
NO PRIVATE RENTED !

What Fuel Does Your Boiler Use ?*
- Mains Gas
- Oil
- LPG

Please Confirm You Will Have Any Insulation That Is Needed*
- I Am Happy To Have My Home Insulated
All Grant Applications Require Your Home To Be Insulated. Free Insulation Is Provided

What Is Your Property Type*
- Semi Detached House
- Detached House
- Detached Bungalow
- Semi Detached Bungalow
- Mid Terraced House
- End Terraced House
- Flat / Maissonette
- Park Home

How Many Bedrooms Do You Have*
- One Bedroom
- 2 Bedrooms
- 3 Bedrooms
- 4 Bedrooms +

Please Enter Your Postcode*
Address ( Including House Number )*

Benefits Claimant Full Name*
Benefits Claimant Date Of Birth*

Your Phone Number*
2nd Phone Number OR Email Address*

Please Provide A Password - ( Fave Pet Or Fave Group. etc )*
SECURITY PASSWORD To ensure you are only contacted by our approved installers , Please request the password from the installer when they call you.
Best Time To Phone You To Book Your Free Survey*
- Any Time
- Morning
- Afternoon
- Early Evening
Please Do Not Submit This Form If You Are Not Contactable By Phone GENUINE APPLICANTS ONLY PLEASE

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