1. Are you a Home owner or Private Tenant? Home OwnerPrivate Tenant 2. Are you or someone from the household claiming any sort of benefits? —Please choose an option—Income Based Jobseeker's allowance (JSA)Income Related Employment & Support Allowance (ESA)Income Support (IS)Pension Guarantee CreditWorking Tax Credit (WTC)Child Tax Credit (CTC)Universal Credit (UC)Housing BenefitPension Savings Credit 3. Was your boiler installed before 2005? (Required) YesNoNo Boiler & Radiators You’re not eligible for Free Boiler Grant 4. How is your home heated? —Please choose an option—Warm Air Heating UnitImmersion heater tanksElectric blow heatersElectric storage heatersElectric Room HeatersElectric wall air systemsCoal FireLog burnerOther Solid Fossil Fuel Is there a gas meter installed in the property YesNo You’re not eligible for Free Boiler Grant Your Name Your Email Phone Number Post Code Address Only home owners are eligible for Boiler Grants.