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Application
Government Approved
We Cover All Of The UK
Save Money On Your Bills
Funding Available
Ecowise helps people save money and protect the environment by installing eco friendly measures in their home.
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*
" indicates required fields
Full Name
*
House number
*
Please Enter Your Postcode
*
Do you own your property?
*
Yes, I Own my property and live in it
No, I am a Tenant
I am a Landlord
Which Energy Saving measures are you interested in?
*
FREE Boiler Upgrade
FREE Central Heating
Home Insulation
Air Source Heat Pump
FREE Solar PV
Internal Wall Insulation
External Wall Insulation
Loft/roof Insulation
All ECO4 Measures
Current Heating Source:
*
Gas Boiler
Electric/ Storage Heaters
Oil
LPG or Bottled Gas
Fossil Fuel - Wood/Coal
Plug in Electric Heaters
No Heating
Other
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Which type of boiler do you currently have?
*
Combi
Conventional
System
Backboiler
Non Condensing
Other
When was your existing boiler installed?
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1-5 Years Old
5-10 Years Old
10-15 Years Old
15+ Years Old
Not Sure
Other
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Do you use any of these for secondary heating?
*
Air source heat pump
Electric storage heaters
Portable electric heaters
Room heaters anthracite
Room heaters coal
Room heaters dual fuel
Room heaters electric
Room heaters mains gas
Room heaters smokeless fuel
Room heaters wood logs
Water source heat pump
none
Our team will get in touch to Talk you through the simple process, Advise the level of funding available to you.
Do you know your Homes EPC Rating?
*
D Rating
E Rating
F Rating
G Rating
NO EPC/Expired
Not Sure
A,B or C Not Eligible
House Type
*
Detached
Semi-Detached
Bungalow
Flat/Apartment
End Terrace
Mid Terrace
Maisonette
Park Home
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Number of Bedrooms?
*
1
2
3
4
5
6+
To Speed up the process it would be good to get your EPC Rating
Click here to get your EPC
Anyone Claiming Benefits in Your Home?
*
Low-Income Household
Child Benefit
Armed Forces Independence Payment
Attendance Allowance
Carer's Allowance
Child Benefits
Constant Attendance Allowance
Disability Living Allowance
Pension Guarantee Credit
Income-related Employment and Support Allowance (ESA)
Income-based Jobseeker's Allowance (JSA)
Income Support
Industrial Injuries Disablement Benefit
Mobility Supplement
Personal Independence Payment (PIP)
Severe Disablement Allowance
Tax Credits (Child Tax Credits and Working Tax Credits)
Universal Credit
We will need to verify your benefits.
For this we will need your Date of Birth - you have the option to enter it now which is quicker or we will call you to confirm
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Date of Birth
Please enter your contact details and we will progress this further for you
We will never share your details with 3rd parties without your permission.
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Email
*
Phone
*
Name
This field is for validation purposes and should be left unchanged.
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