Free Boiler - Apply for survey Free boiler online at WarmA Homes

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Your Data Will Only Be Used For The Sole Purpose Of Obtaining Government Grants – We Do Not Sell On To Other Parties.

Survey - Free Boiler

Step 1 of 14

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What Is Your Existing Boiler Type ?*
- Combi Boiler - ( No Tanks Attached )
- Boiler With A Cylinder Attached
- I Have A Back Boiler Behind The Fire
- No Heating System Fitted
- Unsure

Please Confirm You Are Happy To Be Contacted By An Approved Installer*
- I Am Happy To be Contacted For A Survey
No Time Wasters Please. You Will Only Be Contacted If We Feel You May Be Eligible For A Grant

Which Benefit Do You Receive?*
- Universal Credit
- Pension Credit Guarantee & Savings
- Tax Credits
- Job Seekers / Income Support
- Employment & Support Allowance
- No Benefits - I Am On A Low Income
- Child Benefit
- Housing Benefit

Do You Own Your Home ?*
- I Am The Home Owner
- I Live With The Home Owner
- Social Housing / Private Rented - NOT ELIGIBLE
- OTHER - NOT ELIGIBLE

What Is Your Property Type*
- Mid Terraced House
- End Terraced House
- Semi Detached House
- Detached House
- Detached Bungalow
- Semi Detached Bungalow
- Flat / Maisonnette
- Park Home

How Many Bedrooms Do You Have*
- One Bedroom
- 2 Bedrooms
- 3 Bedrooms
- 4 Bedrooms +

When Was Your Boiler Installed ?*
- Boiler Installed BEFORE 2005
- Boiler Installed AFTER 2005
- Unsure Of Boiler Age
Boilers Installed After 2005 Will Be REJECTED Back Boilers Can Be Any Age

What Fuel Does Your Boiler Use ?*
- Mains Gas
- Oil
- LPG
- No Boiler Fitted

Do You Have a Gas Meter Fitted ?*
- Meter Is Fitted
- No Meter Is Fitted
- Unsure

Please Enter Your Postcode*
Ist Line Of Address*

Applicants Full Name*
Applicants Date Of Birth*

Your Phone Number*
2nd Phone Number OR Email Address*

Please Provide A Password ( Fave Pet / Group etc.*
For your security, Please ask our installer for the password to ensure only 1 of our approved installers contact you

What Is the Best Time To Phone You To Book Your Free Survey*

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