How To Apply For Free Storage Heaters 2023!

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STORAGE HEATERS - FREE UPGRADE

Free Storage Heaters

Your Data Will Only Be Used For Obtaining Government Funded Grants – We Do Not Sell On To Other Parties.

Free Storage Heater Upgrade -Application Form

Step 1 of 15

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Which Benefit Do You Receive?*
- Housing Benefit
- Universal Credit
- Pension Credit Guarantee
- Tax Credits
- Job Seekers / Income Support
- Child Benefit
- Employment & Support Allowance
- No Benefits - MIDLANDS POSTCODES ONLY

Would You Like Free Central Heating ? ( If Eligible)*
- Interested In Central Heating
- No Interest In Central Heating
If You Only Require A Storage Heater Upgrade We Will Add You To Our Waiting List When Funding Is Released later In The Year.

Would You Like A Free Heat Pump ( If Eligible)*
- Free Heat Pump Required
- No Interest In Heat Pump
If You Only Require A Storage Heater Upgrade We Will Add You To Our Waiting List When Funding Is Released later In The Year.

What Is Your Current Main Heating*
- Old Electric Storage Heaters
- Gas Boiler & Radiators
- Warm Air System
- LPG Boiler
- Oil Boiler
- Coal Fire
- Wood Burner
- No Heating System Present

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

Do You Have a Gas Meter Fitted ?*
- A Gas Meter Is Fitted
- No Gas Meter Is Fitted

Which FREE Insulation Are You Interested In ?*
- I Would Like A Whole House Check
- My Home Is Fully Insulated
Insulation must be fitted to enable funding for heating upgrades.

What Is Your Housing Status?*
- Home Owner
- Landlord
- Private Tenant
- Shared Ownership
- Council Tenant -NOT ELIGIBLE
- Housing Association Tenant -NOT ELIGIBLE

What Is Your Property Type*
- Top Floor Flat
- Ground Floor Flat
- Maisonnette
- Mid Terraced House
- End Terraced House
- Semi Detached Bungalow
- Semi Detached House
- Detached House
- Detached Bungalow
- Park Home

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

Please Enter Your Postcode*
House Number AND Ist Line Of Address*

Benefits Claimants Full Name*
Benefits Claimants Date Of Birth*

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

Please Provide A Password*
Please provide us with a password to assist you properly Favourite Pet Or Favourite Group. Thank 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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Views: 866

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