Check Your Eligibility Complete the form below to verify your eligibility for free grants; your information will be secure. Completing this form indicates your acceptance of our privacy policy. Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Are you or anyone in your household in receipt of benefits, child care benefits or working tax credits such as these: * Income based Jobseeker's Allowance(JSA) Income Related Employment And Support allowance(ESA) Income Support(IS) Pension Credit Guarantee Credit(PCGC) Working Tax Credit(WTC) Child Tax Credit(CTC) Pension Credit Saving Credit(PCSC) Universal Credit Housing Benefit (copy) heating Door Are you a home owner? * Yes No Choose your heating system Main Gas Boiler Electric Storage Heaters Electric Heating Warm/Blow Air Unit Is your boiler over 15 years old? Yes No Name *Email *PhoneDoor AddressDoor Address (copy)Door Address (copy) (copy)Submit
