Find out if you’re eligible for a Free Boiler, EWI or Loft Insulation Step 1 of 4 25% About YouAre you a:*Home OwnerPrivate TenantCouncil TenantLandlordYour nameNo. of propertiesAddress line 1Address line 2Town/CityCountyPostcodeCouncil Tenant - Please select all benefits which are being received within the household:* Child Benefits Child Tax Credits Income-Related ESA Income-Based JSA Income Support Guarantee Pension Credit Working Tax Credits Universal Credit Disability Living Allowance Personal Independence Payment Attendance Allowance Carer's Allowance Severe Disablement Allowance Industrial Injuries Disablement Benefits Please select all benefits which are being received within the household:* Child Benefits Child Tax Credits Income-Related ESA Income-Based JSA Income Support Guarantee Pension Credit Working Tax Credits Universal Credit Disability Living Allowance Personal Independence Payment Attendance Allowance Carer's Allowance Severe Disablement Allowance Industrial Injuries Disablement benefits I don't receive benefits Please select how many adults are living at the property:Please Select1 Adult2+ AdultsPlease select how many children are living at the property:Please SelectNo Children1 Child2 Children3 Children4+ Children About your homeWhat type of property are you applying for?HouseBungalowFlat/MaisonetteStatic Park HomeWhat is the style of the property?DetachedSemi-DetachedMid-TerraceEnd-TerraceHow many bedrooms does the property have?123456+Does the property in question have:Cavity WallsSolid WallsDo you require loft insulation?YesNoDo you require external wall insulation?YesNoWhat type of system is currently installed?CombiConventional (I have a hot water cylinder)What is the main fuel which heats the property?Mains GasOilLPGElectric Storage HeatersWhat type of boiler does the property currently have?Wall MountedFloor MountedBack Boiler (Behind Fire)Approximately how old is the current boiler?More Than 8 Years OldBetween 5-8 Years OldLess Than 5 years OldDoes the current boiler carry any faults at all?Yes, it has/had faultsNo, it works great Application ResultGood News!You may qualify for a Grant To continue with your grant application, click next below We will aim to contact you with 2 business days We will arrange a free home survey to be booked An installation date will be confirmed Contact DetailsFirst Name*Last Name*Address Line 1*Address Line 2Town/CityCountyPostcode*Date of birth* Telephone Number*Mobile NumberEmail* Preferred Contact Time/NotesWhere did you hear about us?Consent* I consent to Towy Valley Heating Ltd collecting and storing my data from this form to contact me to arrange a home survey and to keep me informed with my application. For full details on how we use your data, please read our Privacy Policy page. NameThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle AJAX powered Gravity Forms.
