Survey -Claim Your Subsidised Heat Pump Here GENUINE ENQUIRIES ONLY PLEASE Please Do Not Apply If You Are Not Contactable By Phone ! Your Data Will Only Be Used For Obtaining Government Funded Grants – We Do Not Sell On To Other Parties. Heat Pump Grant Survey Step 1 of 12 8% Please Confirm You Are Aware Of Contribution ( From £3000)* I Am Aware Of The Contribution Please Confirm You Will Pay £25 Deposit* I Will Pay £25 Deposit Deposit is refunded if we are unable to honour our part of the bargain. Deposit forfeited if you cancel for any reason. Do You Own The Property ?*I Am The Home OwnerI Live With The Home OwnerPrivate RentedI am The LandlordCouncil / Housing Association -NOT ELIGIBLE What Is Your Property Type*Top Floor Flat With LoftMid / Ground Floor Flat - No LoftTerraced HouseSemi Detached BungalowSemi Detached HouseDetached HouseDetached BungalowPark Home Do You Receive A Benefit >* No Benefits -Low Income Applicant Universal Credit Pension Credit Guarantee Tax Credits Job Seekers / Income Support Child Benefit Employment & Support Allowance How Many Bedrooms Do You Have*One Bedroom2 Bedrooms3 Bedrooms4 Bedrooms + What Is Your Main Heating?*Gas BoilerElectric HeatersLpg BoilerOil BoilerSolid FuelWarm AirOther Which FREE Insulation Are You Interested In ?*I Would Like A Whole House CheckMy Home Is Fully InsulatedInsulation must be fitted to enable funding for heating upgrades. Do You Have a Gas Meter Fitted ?*A Gas Meter Is FittedNo Gas Meter Is FittedPlease Enter Your Postcode*Ist Line Of Address* Applicants Full Name*Applicants Date Of Birth* Your Phone Number*2nd Phone Number OR Email Address* Best Time To Contact You* Any Time Morning Afternoon Early Evening Δ Share and Enjoy !Shares