Fill in the form and include your referral’s email and you’ll receive £50 in cash. First Name*Last Name*Email*Contact No.*Referral EmailEnter the email address of the referral to receive the £50 cash reward on application success. Details on how to claim the reward will be sent to this email too. Please note this applies to applicants applying for oil boiler replacements only.Date of Birth*Postcode*House Name/No.*Qualifying Benefit*SelectChild Tax CreditPension Credit GuaranteeJSAESAIncome SupportUniversal CreditWorking Tax Credit None (insulation grants only)Current Heating Type*SelectGas BoilerLPG BoilerOil BoilerSolid FuelElectric Storage HeatersNo Heating systemResidency Type*SelectHomeownerTenant (private)Landlord{"groups":[{"groupOp":"AND","groupAction":"show","rules":[{"field":"Residency_Type","op":"nn","data":""}]}]}House Type*SelectSemi-DetachedDetachedEnd TerracedMid TerracedDetached BungalowSemi-Detached BungalowFlatMaisonetteOther{"groups":[{"groupOp":"AND","groupAction":"show","rules":[{"field":"House_Type","op":"nn","data":""}]}]}Property Build Type*SelectCavity WallsSolid WallsOther{"groups":[{"groupOp":"AND","groupAction":"show","rules":[{"field":"Property_Build_Type","op":"nn","data":""}]}]}No. of Bedrooms*SelectOneTwoThreeFourFiveSix or more{"groups":[{"groupOp":"AND","groupAction":"show","rules":[{"field":"No__of_Bedrooms","op":"nn","data":""}]}]}Loft Insulation Type*SelectNoneUp to 10cm deepMore than 10cm deepRoom in the RoofFloorboardsNo AccessSubmit
