Apply for your Free Energy Saving Grant(ECO4) with us Today!
Why apply?
Our simple questionnaire will help us to identify any energy efficiency grants and funding you may be eligible for. We'll then apply for the funding on your behalf and our TrustMark registered installers will fit them in your home.
Customer Details
Please fill out the below Customer information to take your first steps towards a Free Energy Saving Grant today!
Customer (1) Title
*
Customer (1) First Name
*
Customer (1) Last Name
*
Customer (1) Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Customer (2) Title
Customer (2) First Name
Customer (2) Last Name
Customer (2) Date of Birth
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Customer Mobile / Landline Number
*
-
Area Code
Phone Number
Customer Email Address
*
Customer Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please upload photo proof of address (utility bill, council tax, etc)
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Which of the following best describes your Home Tenancy situation?
*
I own my own Home
I rent from a Private Landlord
I rent from a Council or Housing Association
Customer (1) Eligibility Details
Benefit Type(s)
*
Child Tax Credits (CTC)
Jobseekers Allowance (JSA)
Employment & Support Allowance (ESA)
Income Supports (IS)
Pension Credit Guarantee Credit
Universal Credit (UC)
Working Tax Credits (WTC)
Housing Benefits
Pension Credit Saving Credit
No Benefit
Please upload photo proof of benefit(s)
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Customer (1)'s Signature
*
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Next
Landlord Details
(If Applicable)
Landlord Name
Landlord Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Landlord Email Address
Landlord Contact Number
Landlords Signature
Back
Next
Property Details
Please answer the below multiple choice questions to the best of your ability. Don't worry, if you do not know the answer, we will be in touch to assist. We're here to help!
What is your Property Type?
*
Flat
End Terraced House
Mid-Terraced House
Detached House
Semi-Detached House
Bungalow
Maisonette
Parkhome
I don't know
Other
How many Bedrooms are in your Home?
*
1
2
3
4
5
I don't know
Other
How old is your Property?
*
Built Before 1920
Built Between 1920 & 1979
Built After 1979
I don't know
How would you describe the construction of your Roof?
*
Pitched Roof - No Insulation
Pitched Roof - Some Insulation (150mm or Less)
Pitched Roof - Fully Insulated
Flat Roof - No Insulation
Flat Roof - Insulated
Loft Conversion - No Insulation
Loft Conversion - Insulated
I don't know
Other
How would you describe the construction of your Walls?
*
Cavity Wall - No Insulation
Cavity Wall - Insulated
Solid Wall - No Insulation
Solid Wall - Insulated
Sandstone or Limestone Walls
I don't know
Other
How would you describe the construction of your Flooring?
*
Solid Floor
Suspended Floor
Both
I don't know
Other
What type of fuel do you use to heat your Home?
*
Electricity
LPG Gas
Solid Fuel (e.g Wood, Coal)
Mains Gas
Heating Oil
I don't know
Other
Schedule your Welcome Call
What would you rate your experience with T Samuel?
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Apply Now!
Apply Now!
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