Grant Funding Application Form

This form will take approximately 10 minutes to complete.

Please answer all of the questions below so we can determine which funding route is best for you – on completion of the form, a member of the Energy Team will contact you to discuss next steps.

Grant Funding Application Form

Action on Energy - Grant Funding Application Form
6. Who is your local authority?
7. What is the tenure of your property?
8. What is your council tax band?
9. What is your EPC rating?
10. What is your property type?
11. What is the wall construction of your home?
12. What is your primary source of heating?
If you aren't sure, please just put 'don't know'
13. Are you connected to the gas grid?
14. Which energy efficiency measures are you interested in?
15. What is your gross combined total household income? This is your total income before tax.
This is your total income before tax and inclusive of benefits, except for Personal Independence Payment (PIP), Disability Living Allowance (DLA) and Attendance Allowance (AA) as these are not classed as general income
16. Are you or anyone in the property in receipt of a means tested benefit?
17. Do you or anyone in the property have an illness or disability that is made worse by cold weather?
18. Have you had any energy efficiency work completed under any grant funding previously?
19. Please view all of our approved contractors for work on our website - Our Energy Efficiency Contractors. Once viewed, please indicate if you have a preference on which contractor may contact you

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