Emergency call-out 7 days a week

0151 542 5000

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...

Name:

Date of Birth

Email:

Telephone Number:

First Line of your Address:

City:

Post Code

Council Area:


Your Current Heating System

Please tick the relevant box

NoneSolid FuelBottle Gas (LPG)OilEconomy 7/ElectricGas


Benefits

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 0151 542 5000 or email us