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FREE Grant Application Form

If you would like to know if you qualify for any grants within the Coventry area, please fill in the simple form below and we will be back in touch with you.

If you do qualify and want to go ahead, we will need to do a home survey.
This is free of charge. We will contact you to arrange this.

    Are you a homeowner?*

    How many bedrooms do you have?*
    What type of property are you applying for?*
    Does your house have cavity walls or solid walls?*
    How is your home currently heated?*

    Are your cavity walls insulated?*

    Is your Boiler over 7 years old?*

    How many storage heaters do you have* (not panel heaters)?
    Do you have gas feed into your home?*

    How many electric heaters do you have?*
    Do you have gas feed into your home?*

    This scheme is currently only for those in receipt of the following benefits.

    *Income based Jobseekers allowance *Income related Employment & Support Allowance *Income Support *Pension Credit *Housing Benefit
    *Tax Credits (Child or Working Tax Credit) *Universal Credit

    Are you in receipt of any of the above benefits?*

    Sorry, this scheme is only for those in receipt of the above benefits at the moment.
    If you leave your details, we will contact you when funding becomes available.
    The more information you give us, the better chance we have of finding funding for you

    Your details...

    Your name:*
    Your email address:*
    Your Mobile Number:*

    You do-not have to give us your date of birth, but there are schemes aimed at certain age groups only.
    Your Date of Birth:

    First line of your address:*
    Your Postcode:*
    How did you hear about us ?

    Are you a private tenant?

    What are you interested in ?

    How many bedrooms do you have?:
    What type of property are you applying for?:
    Does your house have cavity walls or solid walls?
    How many electric heaters do you have (not storage heaters)?
    How many storage heaters do you have?
    Do you have gas feed into your home?

    This scheme is currently only for those in receipt of the following benefits.

    *Armed Forces Independence Payment *Attendance Allowance *Carer’s Allowance *Child Tax Credit *Constant Attendance Allowance *Disability Living Allowance (DLA) *Guaranteed Pension Credit *Income-Based Job Seeker’s Allowance (JSA) *Income-Related Employment and Support Allowance (ESA) *Income Support *Industrial Injuries Disablement Benefit *Personal Independence Payment (PIP) *Severe Disablement Allowance *Universal Credit *War Pensions Mobility Allowance *Working Tax Credit.

    Are you in receipt of any of the above benefits?*

    Sorry, this scheme is only for those in receipt of the above benefits at the moment.
    If you leave your details, we will contact you when funding becomes available.
    The more information you give us, the better chance we have of finding funding for you

    Your details...

    Your name:*
    Your Mobile Number:*
    Your email address:*

    You do-not have to give us your date of birth, but there are schemes aimed at certain age groups only.
    Your Date of Birth:

    First line of your address:*
    Your Postcode:*
    How did you hear about us ?

    Sorry, we cannot supply boiler upgrades to tenants at the moment.
    If you leave your details, we will contact you when funding for tenants becomes available.
    The more information you give us, the better chance we have of finding funding for you

    Some schemes require benefits, others do-not. you dont not have to answer this question, but it could help us find funding for you.

    *Armed Forces Independence Payment *Attendance Allowance *Carer’s Allowance *Child Benefit *Child Tax Credit *Constant Attendance Allowance *Disability Living Allowance (DLA) *Guaranteed Pension Credit *Income-Based Job Seeker’s Allowance (JSA) *Income-Related Employment and Support Allowance (ESA) *Income Support *Industrial Injuries Disablement Benefit *Personal Independence Payment (PIP) *Severe Disablement Allowance *Universal Credit *War Pensions Mobility Allowance *Working Tax Credit.

    Are you in receipt of any of the above benefits?

    Your name:*
    Your Mobile Number:*
    Your email address:*
    Your Postcode:*
    How did you hear about us ?

    Sorry, we can only help homeowners or private tenants at the moment. But funding changes all the time.
    If you leave your details, we will contact you when funding for tenants becomes available.
    The more information you give us, the better chance we have of finding funding for you

    Some schemes require benefits, others do-not. but it could help us find funding for you.

    *Armed Forces Independence Payment *Attendance Allowance *Carer’s Allowance *Child Benefit *Child Tax Credit *Constant Attendance Allowance *Disability Living Allowance (DLA) *Guaranteed Pension Credit *Income-Based Job Seeker’s Allowance (JSA) *Income-Related Employment and Support Allowance (ESA) *Income Support *Industrial Injuries Disablement Benefit *Personal Independence Payment (PIP) *Severe Disablement Allowance *Universal Credit *War Pensions Mobility Allowance *Working Tax Credit.

    Are you in receipt of any of the above benefits?*

    Your name:*
    Your Mobile Number:* (We contact you via text at first)
    Your email address:*
    Your Postcode:*

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