Decarbonisation Eligibility Form

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1. What is your main primary heat source?* This field is required.

YESNO

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2. Do you have a valid Energy Performance Certificate (EPC)?* This field is required.An Energy Performance Certificate is a rating scheme which summarises the energy efficiency of your building.

YESNO

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3. Have you had an energy consumption report done within the past 2 years?* This field is required.

YESNO

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4. Do you have a fabric details survey?* This field is required.

YESNO

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Which of the following have you had done?* This field is required.

CDC Report

Asset Management Plan

Condition Survey

Other

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5. Do you have an accurate up to date drawing of your site?* This field is required.

YESNO

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Thank you for completing the form. Please fill in your contact details on the next page and a specialist will be in touch with an initial evaluation report.

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Organisation Name* This field is required.

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Post Code* This field is required.

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Contact Name* This field is required.

Title

First Name

Last Name

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Email Address* This field is required.

example@example.com

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Contact Number* This field is required.

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* This field is required.

I am happy to be contacted to discuss further options

I am happy to receive marketing emails