Emergency call-out 7 days a week

07749 528 200

Office Hours: Mon-Fri - 8.30am - 6pm

Boiler Grant Application form

If you need help filling in this form - please contact us

Please tick the relevant boxes:

I own my homeI rent my home

Housing Association tenants do not qualify.

I receive a benefit: YesNo

Your Details...


Date of Birth


Telephone Number:

First Line of your Address:


Post Code

Council Area:

Your Current Heating System

Please tick the relevant box

NoneSolid FuelBottle Gas (LPG)OilEconomy 7/ElectricGas


Please tick what benefits you're entitled too

Income SupportIncome Related Employment Support AllowanceIncome Based Jobseekers AllowancePension CreditChild Tax Credit (with relevant income less than £15,860)Working Tax CreditDisability Living AllowanceAttendance AllowanceHousing Benefit

Book an appointment with a heating engineer. Call 07749 528 200 or email us