St Helens ECO4 Flex householder application

Liverpool City Region ECO4 and Great British Insulation Scheme Flex: householder application form – St Helens Borough Council

Use this form for households to apply for the ECO4 and Great British Insulation Scheme(GBIS) Flex through St Helens Borough Council.

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. Please also complete page 4 by ticking the boxes to confirm the statements and signing the page. Please also confirm what evidence has been provided using the tick boxes on page 5.

Householder information

Password*

Name of householder*

Address*

Postcode*

Email address*

Household contact number*

How many people over 18 live at the property?*

Which FLEX route?

Route 1 - household earnings less than £31kRoute 3 - NHS Referral

Declaration

To be completed in respect of all applications

Warning: If you knowingly make a false statement you may be liable to prosecution.

I hereby declare that the information given in this application in relation to my household and income (if applicable) is true and correct to the best of my knowledge:

Householder signature*

Date*

Date

Dropbox Folder