Please complete this form to allow us to confirm with the Department of Work and Pensions that the benefits that you receive meet the eligibility requirements for the Affordable Warmth heating and insulation grants and that the person receiving the benefits lives at the property to be upgraded. This form must be completed by the person who is in receipt of the benefits

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    We will need this to be able to confirm the eligibility of the person who is on benefits

  • Works you are interested in - tick all that apply
  • To be ticked by the person who is in receipt of the benefits:

    This form must be completed by one of the people in the home who is in receipt of benefit. If you are not the person on benefit please use our quick contact form on the home page.

    Data Protection Statement

    In order for Happy Energy Ltd to confirm whether you are entitled to ECO Affordable Warmth funded measures, we will share your personal data with our trusted third party service provider, the Energy Saving Trust, and with the Department for Work and Pensions.
    Your details will be used as follows to assess your eligibility for the service, we will:

    • Get in touch with the Department for Work and Pensions via the Energy Saving Trust to check if you may be eligible for this assistance.
    • Receive information from the Department for Work and Pensions about you, this will be limited to information relating to your entitlement to assistance.
    • Share your details with our service provider Energy Saving Trust so they can check if you may be eligible for this assistance and provide services to us.
    • Share your details with the scheme administrator, Ofgem, so they can review the scheme.

    For more information please see our privacy policy available at www.happyenergy.co.uk/legal

    I the customer acknowledge that I have read and understood the Data Protection Statement at the top of this page.

    I hereby give my consent for the appropriate and necessary data being shared with the Energy Saving Trust and The Department for Work and Pensions. *