Step 1 of 2 50% Are you a benefit receipant(Required) Yes No You must receive benefits from the government to be eligible for this Free Boiler Replacement Grant Identify your benefit(Required)Please select your benefitIncome-based Jobseekers Allowance (JSA)Income-related Employment & Support Allowance (ESA)Income SupportPension Credit GuaranteeCredit Working Tax Credit (WTC)Universal Credit (UC)Child Tax Credits (CTC)Child BenefitHousing BenefitPension Credit Savings CreditHow do you keep your home warm?(Required) Electric Gas Oil What kind of heaters you have?(Required) Electric Storage Heaters Electric Room Heaters Portable Heaters Is your boiler installed before 2005?(Required) Yes No Your boiler must be 20 years old to receive a free boiler grant Under the Eco4 Scheme. Do you have gas metre installed?(Required) Yes No What is your boiler type?(Required)Please select your boiler typeGas BoilerElectric Storage HeaterOil BoilerLPG BoilerSolid Fossil Fuel BoilerElectric Room HeatersGas Room HeatersSolid Fossil Fuel Room HeatersElectric BoilerAir Source Heat PumpGround Source Heat PumpBulk LPGGas Warm Air SystemGas Fire with Back BoilerGas Back Boiler to RadiatorsBiomass BoilerMicro Combined Heat & Power SystemOtherNo Boiler or RadiatorCondensing Boiler Please send your boiler picture on WhatsApp after submitting the application. This boiler type is not eligible for a grant. Your property style?(Required) Flat Bungalow Terraced End Terrace Semi-Detached Detached Council/Park Homes This property style is not eligible for a grant. Would you also like insulation? It’s totally free. Loft Insulation Internal Wall Insulation Cavity Wall Insulation External Wall Insulation Name(Required) First Last Email(Required) Phone Number(Required)Date of BirthDay12345678910111213141516171819202122232425262728293031Month123456789101112Year202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Address(Required) Street Address City Post Code CommentsThis field is for validation purposes and should be left unchanged.
