Liverpool City Council FLEX App

Liverpool City Region ECO4 and Great British Insulation Scheme Flex: householder application form

Use this form for households to apply for the ECO4 and Great British Insulation Scheme Flex through their local authority or devolved administration.

Find out more about the schemes on the Energy Company Obligation (ECO) homeowners and tenants and Great British Insulation Scheme pages of the Ofgem website. Your local authority can refer your application to both schemes. If a supplier decides to take the referral forward, a retrofit assessor will then determine which of the schemes is suitable, and the specific energy efficiency measures that would benefit your home.

This application does not guarantee eligibility for ECO4 or Great British Insulation Scheme Flex, and all applications are subject to assessments carried out by the local authority and an energy supplier.

How to apply

Households should use the tick boxes below to choose one or more of the four routes that they are eligible for.

Name of householder*

Address*

Postcode*

Household contact number*

Number many adults residing at the address*

Which ECO Flex route are you applying through?*

Route 1 - household earnings less than £31,000 before taxRoute 3 - NHS Referral

How your personal data is used

Your local authority or devolved administration may share your contact and personal details with funding energy suppliers, installers, and Ofgem (the administrator for the schemes). For Page 4 of 5 details of how any individual or organisation will collect and process your data you should contact them directly. Details of how Ofgem will collect and process your data in connection with the ECO4 and the Great British Insulation Scheme are contained in the ECO privacy notice5 and the Great British Insulation Scheme privacy notice on the OFGEM website.

☐ I understand that this document is not a declaration, and that it will not guarantee my eligibility for ECO4 or Great British Insulation Scheme Flex measures.

☐ I understand that the availability of ECO4 and Great British Insulation Scheme funding and measures will be subject to a retrofit coordinator and that the [local authority name] does not endorse any specific provider or contractor.

☐ I certify that the information I provide about my financial and personal circumstances is true and correct. I understand that the [local authority name] will require evidence to substantiate this claim.

Householder signature*

Date

Calculation