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361 Home Energy Call Form
361 Home Energy Call Form
Our service is free and delivered by our North Devon team over the phone, with energy efficiency products delivered direct to your home (COVID-safe).
361 Home Energy Call Form
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  • 9
    70% of people living in North Devon qualify for our free home energy service, but we need to ask some questions about income, health and vulnerability to help us secure funding for your visit. Is this OK?
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  • 10
    Is ANYONE living at your address receiving one of the following? If so please select
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    Is ANYONE living at your address in one of the following situations? If so please select
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  • 12
    Do any of the following situations relate to ANYONE living at your address? If so please select
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  • 13
    I consent to 361 Energy sharing my contact information with AgilityEco who run the Home Energy Efficiency LEAP programme with the support of the council / housing association. I understand that a member of staff at the LEAP contact centre will telephone me to ask me further questions to confirm my eligibility for the scheme and arrange a home energy visit. I understand that this may include questions regarding my health and financial status and/or that of members of my household. I understand that my personal information will not be shared with or used by anyone outside this programme without my explicit consent unless the law allows for the sharing of information for the purposes of prevention and detection of crime or where I or another person would otherwise be at risk of serious harm. I consent for 361 Energy to retain my data and contact me in the future.
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