Secure form

Enter your postcode to start

Your postcode

Please enter a valid UK postcode.

Takes 30 seconds • No obligation • Secure & private

Select your address

Your address

Please select an address from the list.

Simply enter your house name/number and street

Your house name/number and street

Please enter your house name/number and street.

Please confirm the type of property that you live in?

Detached House Semi-Detached House Terraced House Bungalow Cottage Flat/Apartment

Have any of the following improvements been made to your home in the last 12 months?

Please select at least one option.

Are you a homeowner or renter?

Homeowner Private Renter Social Housing (Council or housing association)

Is your property affected by any of the following?

Damp Mould Condensation Leakage Cold or draughty room Poor insulation None

Does your property have a gas supply?

Yes No

Yes = On-gas (connected to mains gas)
No = Off-gas (not connected to mains gas)

Which income band does your household fall into?

Under £1,500 £1,500–£2,499 £2,500–£3,499 £3,500+

Do you currently have any of the following outstanding credit commitments?

Credit cards Personal loans Store cards or catalogue accounts Overdrafts Council Tax arrears Utility bill arrears (gas, electricity, water) Rent arrears HMRC or tax debts None

Please select at least one option.

Which of the following best describes your total outstanding debt balance?

Under £2,000 £2,000–£5,000 £5,001–£10,000 £10,001–£20,000 Over £20,000 Not Sure

Title Your First Name Your Last Name Your Phone Number Your Email Address

When's best to call you?

We cannot guarantee a specific time or date to contact you. However, we will do our very best to call you at a time or day that is convenient for you.

Our opening times are: Mon-Fri 9am-7pm.

When's best to call you?

If you are eligible for the ECO4 grant and once your install is complete, you will receive a free energy-saving gift pack or a £100 cash award, as a thank you from us for choosing ECO4 Government Grant.

Terms Apply.

Which gift would you prefer? By ticking this box, you agree to the storage and processing of your personal data provided in this form in accordance with our Privacy Policy.

Step 9 goes here…