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Energy Efficiency Enquiry Form

  1. Home
  2. Residents
  3. Housing
  1. This form will help identify what your energy efficiency needs might be, and if there is any help that the Council can provide. It should be completed by the occupier of the property.

  2. Your details
    1. Your address
  3. Are you the Occupier?
  4. Are you the owner or a tenant?
  5. If you are a tenant, please tell us the landlord or the owner's details.
    1. Landlord's/Owner's details
    2. Landlord's/owner's address

  6. Section 1 - Income Threshold and Vulnerability to the cold

  7. Are you, or any member of the housing, receiving any of the following benefits? Please tick all that apply.

  8. Is the Household income (after housing costs) less than £35,000 per annuum?

  9. Do any of the following apply to you or a member of your household? Please tick all that apply.

  10. Section 2 - Property Efficiency

  11. Is the EPC rating of the property D or below?

  12. How do you currently heat your property?
  13. If you selected other, please provide details below.

  14. What improvements are you looking for?

  15. Declaration of Eligibility

  16. I declare that I meet the income/vulnerability criteria in section 1 and the property efficiency criteria in section 2.

    The Council will use your information to assess your energy needs, and depending on what help or funding is available, we may pass your details to an installer. The installer will organise a technical survey and installation, should you decide to proceed.

    For more information about how we handle your data, please see https://www.southhams.gov.uk/Privacy or https://www.westdevon.gov.uk/Privacy

  17. By clicking submit, you consent to us using your personal data as described above.

  18. I have read the declaration and consent to my personal data as detailed in this form being used as described above.
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