ECOFlex Declaration Application for Installers

ECO Flexible Eligibility Customer Declaration

This form is for installers already onboarded onto the ECOFlex scheme with CSE to request a signed declaration. Evidence will need to be provided in accordance with OFGEMs guidelines.

Declarations no longer need to be signed at the property to aid the collection of evidence that is now required.  

Due to the changing nature of the guidance please refer to the holding page below for the most up to date guidance on eligibility and evidence required. This is the guidance we will have to follow to approve each application.  

www.ofgem.gov.uk/publications/eco4-guidance-local-authority-administration 

The information you provide on this form will be used to assess the eligibility for the ECO Flexible Grant. It will be shared with the Centre for Sustainable Energy for this purpose and they may contact you or the householder to confirm their eligibility. You can find out about how they will store information at www.cse.org.uk/advice/privacy

Your information will also be shared with the local authority in order to process the application. 

By completing this form you confirm you have secured permission from the householder to share the information with the Centre for Sustainable Energy, their Local Authority, and OFGEM. 

If you are the installer or contractor and need assistance, please email ecoflex@cse.org.uk

If you are having difficulty with the form please try the direct link here - https://form.jotform.com/230805090113342 

Gross annual income less than £31,000.

This cap applies irrespective of the property size, composition or region and is from all sources of income, including both non means tested and means
tested benefits. 

This is the combined whole household income, including every person 18+
years living at that address, such as lodgers and elderly relatives etc

Households that meet at least two of the following proxies:

Proxy 1) Homes in England in Lower-layer Super Output Area
(LSOA)1-3 on the English Indices of Deprivation 2019

Proxy 2) A person living at the premises receives a Council Tax
reduction on the grounds of low income

Proxy 3) A person living at the premises is considered to be
vulnerable to the cold under the National Institute for Health and
Care Excellence (NICE) Guidance

Proxy 4) A child living at the premises is eligible for free school
meals, due to low-income

Proxy 5) A person living at the premises is supported by a LA run
scheme which the LA has both named and described in their
Statement of Intent, and established to support people living on a
low income and vulnerable to the cold under NICE Guideline 

Proxy 6) A person living at the premises has been referred to the LA
for support by their energy supplier, Citizens Advice because they have been identified by the referrer as struggling to pay their gas or electricity bills. 

Proxy 7) Households identified through supplier debt data. This route
enables obligated suppliers to use their own debt data to identify
either Non Pre-Payment meter households (non-PPM), or PrePayment meter households (PPM).

Proxies 1 & 3 and proxies 6 & 7 cannot be used in combination
with each other.

Households identified as housing a person suffering from a
severe and / or long-term health condition that is adversely affected by
living in a cold home.

The person’s severe or long term health condition must be due to :

• A cardiovascular condition,
• A respiratory disease,
• Limited mobility, or
• Immunosuppression
  
  

Based on the information provided the household does not qualify for funding. 

This is a commercial form that should only be used by onboarded installers. If you are not an installer please revisit CSE's homepage and visit the 'My Home' section.