Your Contact Details

About You

Do you receive any of the following benefits: *
If you receive either Income Support, Income Based Job Seekers Allowance or Employment Support Allowance, to be eligible for free heating and insulation, you also need to have one of these qualifying components
 At least one must be selected
Disabled child premium
Has parental responsibility for a child under 16 living in the property
Has parental responsibility for a child between 16 and 20, and in full time other than higher education that lives at the property
Pension premium, higher pension premium, or enhanced pension premium
In receipt of child tax credit which includes a disability or severe disability element
Disability premium, enhanced disability premium or severe disability premium
Receiving a work related activity or support component (only valid in conjunction with income related employment and support allowance)
If you receive Working Tax Credit, you also need to be able to answer yes to one of the following to be eligible for FREE Insulation and Heating: *
 Select any that are applicable
Has parental responsibility for a child between 16 that lives at the property
Has parental responsibility for a child between 16 and 20, and in full time other than higher education that lives at the property
In receipt of a disabled worker element or severe disability element
Aged 60 or over

About Your Home

When was the property built approximately? *

Home Status *

What Are You Interested In?

Interested In *