Apply for assistance from the Affordable Warmth Team

You can use the form below to apply for assistance from the Affordable Warmth Team, whether you are applying for yourself, a friend/family member, or a client that you are supporting.

To be eligible for the team’s advice and support, a person must be living on a low income (including those on income-related benefits), and have inadequate heating or insulation, and/or suffer with a health condition that is affected by living in a cold, damp home.

Find out more about the Affordable Warmth Team and check if you are eligible
for support.

Name

First

Last
Address
Postcode
Date of Birth
Please provide telephone contact details
Email
What is your current tenure?
Reason for applying
Help to improve the energy efficiency of your homeBenefit entitlement checksHelp with heating upgradesHelp with loft and wall insulationSupport with keeping warm in your home
Please provide further information on the reason for your application
Where did you hear about the Affordable Warmth Team?
Referrer details (if different from above)
Name of referrer

First name

Last name
Organisation and department of referrer
Please provide telephone contact details
Enter email address
I consent for the Affordable Warmth Team to share my information with external partner organisations who provide services under the Affordable Warmth Team’s collaboration, so they can contact me or members of my household to offer appropriate support services.
I consent

Apply for assistance from the Affordable Warmth Team

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