Boiler Eligibility Check Please enable JavaScript in your browser to complete this form. – Step 1 of 2 Are you a benefit recipient?YesNoYou must receive benefits from the government to be eligible for this Free Boiler Replacement Grant Identify your benefit: *Income-based Jobseekers Allowance (JSA)Income-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? *ElectricGasOilWhat kind of heaters you have? *Electric Storage HeatersElectric Room HeatersPortable HeatersIs your boiler installed before 2005? *YesNoYour boiler must be 20 years old to receive a free boiler grant Under the Eco4 Scheme. Do you have gas metre installed? *YesNoWhat is your boiler type? *Non-Condensing BoilerCondensing BoilerNot SureThis boiler type is not eligible for a grant. Please send your boiler picture on WhatsApp after submitting the application. Your property style? *FlatBungalowTerracedEnd TerraceSemi-DetachedDetachedCouncil/Park HomesThis property style is not eligible for a grant. Would you also like insulation? It’s totally free. *Loft InsulationInternal Wall InsulationCavity Wall InsulationExternal Wall Insulation your your It’s NextPlease provide your name *FirstLastEmail *Phone *Date Of BirthMM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Address *Address Line 1CityState / Province / RegionPostal CodeSubmit
