British Gas Free Boiler - Apply In 2 Minutes!

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Your Data Is Stictly Confidential And Will Only Be Used For The Sole Purpose Of Obtaining Government Funded Grants – We Do Not Sell On To Other Parties.

British Gas Free Boiler - Apply Here

Step 1 of 14

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

Please Confirm You Are Happy To Be Contacted By An Approved Installer*
- I Am Happy To be Contacted For A Survey
No Time Wasters Please. You Will Only Be Contacted If We Feel You May Be Eligible For A Grant

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

Which Benefit Do You Receive?*
- Pension Credit
- Housing Benefit
- Tax Credits
- Job Seekers / Income Support
- Child Benefit
- Employment & Support Allowance -Income Related
- Universal Credit
- No Benefits - Low Income Household

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 & Ventilation Needed*
- I Am Happy To Have My Home Insulated
All Grant Applications Require Your Home To Be Insulated & Ventilated Both are Provided Free Of Charge

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*

What Time Is Best To Call You To Book Your Survey?*
NO TIMEWASTERS TO FILL IN THIS FORM ! If You Are Not Contactable By Phone - Please Abandon This Form NOW!you.

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.

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