Mansfield District Council FLEX Application

Mansfield District Council ECO4 Flexible Eligibility Application Form
Password*
Applicant Details
Name*
Address*
Postcode*
Telephone*
Which FLEX qualifying route?*

Route 1 - household income less than £31,000 before taxRoute 3 - NHS referral
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.
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 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 notice[i] and the Great British Insulation Scheme privacy notice on the OFGEM website.

[i] https://www.ofgem.gov.uk/publications/eco-privacy-notice
Signature*

Clear
Date

DayMonthYear
Date
Dropbox Folder
Should be Empty:

Mansfield District Council ECO4 Flexible Eligibility Application Form

Applicant Details