The data on this form is collected for or on behalf of Leicestershire County Council to assess your eligibility forassistance under Energy Company Obligation (ECO) and/or Great British Insulation Scheme (GBIS) Flexible Eligibility.
By completing this application, you will not automatically receive assistance for measures, as ECO/GBIS Flexible Eligibility assistance is provided by energy suppliers not Leicestershire County Council.
The information provided to Leicestershire County Council in this form will be held securely and used for ECO/GBIS Flexible Eligibility purposes. The information may also be used and shared with other organisations (funding energysuppliers, installers, and Ofgem (the administrator for the schemes)), if necessary, to protect public funds and/or toprevent fraud. For details of how any individual or organisation will collect and process your data you should contactthem directly.
Details of how Ofgem will collect and process your data in connection with the ECO4 and the Great British InsulationScheme are contained in the ECO privacy notice and the Great British Insulation Scheme privacy notice on the OFGEM website.
The information will be held securely in electronic format by Leicestershire County Council. The evidence for meetingthe eligibility criteria and the application form will be kept for not longer than seven years and then deleted in line with current data protection legislation.
Declaration
By signing this form, I certify that the information detailed on this form relating to me and my financial/personalcircumstances is true and correct. I understand that the Leicestershire County Council will require evidence tosubstantiate this claim. By signing this form, I consent to my personal data (including relating to my health condition) being provided to, used, and stored by Leicestershire County Council for the following purposes:
• processing this application form to confirm my eligibility for this scheme.
• internal performance review, analysis, reporting and audit to improve our services; and
• contacting me for application verification, customer satisfaction purposes and to see whether I’d be willing toparticipate in future promotional activity