Lendology CIC - Application

Application
Submitted

Application Form

Complete this form, and we’ll assess your eligibility.

If you qualify, we’ll need proof of your eligibility.

To share this, you’ll receive an email with details on what’s required and a secure link to upload your documents.

If you have submitted an application and would like an update on its progress, you can contact Warm Homes Suffolk by calling 03456 037 686 or email applications@mywarmhomesgrant.co.uk

Is this a referral for someone else?

Referrer Details

Referrer Name

Are you supporting this applicant with the full process?

About You

Title

First Name

Last Name

Date of Birth

Mobile Number

Landline

Email Address

How would you like to submit your documents to us?

What is your ethnicity?

Choose one option that best describes your ethnic group or background

What is your sex?

Your Eligibility
Check my EPC

Do you have a current Energy Performance Certificate (EPC)?

What is your current EPC rating?

Check my postcode

There is someone in my household with:

outstanding energy bills

an energy supplier’s assessment of vulnerability

disconnection or restriction of supply

payment plans

My home is in a pre-qualified postcode area:

Someone in my household:

is vulnerable to cold

has energy supplier debt

has been referred by Citizen's Advice or an energy supplier

has a letter from the local authority advising eligibility

is eligible for free school meals

is eligible for council tax reduction due to low income

Which of these apply to you in terms of being vulnerable to cold?

Are you in receipt of a Means Tested Benefit?

Housing Benefit

Income-based Jobseeker’s Allowance (JSA)

Income-related Employment and Support Allowance (ESA)

Income Support

Pension Credit (savings and guarantee)

Universal Credit

Select any that apply to you:

The total income of my household is under £36,000 before tax

There is someone in my household:

with cardiovascular conditions

with respiratory conditions

with mental health conditions

with disabilities

aged 65+

under 5 years old

who is pregnant

with suppressed immune systems

Your Home

Do you own your property?

As part of your eligibility checks, we may need to contact your tenant

Town

County

Is your property free from damp and mould, and in a good state of repair?

House Number

Flat

Property Type

Your application will need to be assessed to determine if the Warm Homes Grant can support your property

How many people live in the house?

Is your home in a listed building or conservation area?

You may require planning permission or listed building consent.

Your application for Warm Homes funding may proceed once you have obtained the necessary permission from your Local Authority.

Which housing cost do you pay?

Mortgage

Rent

None

Postcode

Street

House Name

The information you have supplied is being collected for the purposes of determining your eligibility for grants under the Warm Homes Suffolk scheme and any fraud will be reported. By completing this form, you consent to Lendology using your information for this purpose. You can withdraw your consent at any time by contacting WHLG@suffolk.gov.uk . We will action your request to withdraw your consent within 2 working days and will also discontinue processing your grant application within that timeframe. Your information will not be used for any other purposes without your consent. Your information will be shared with our procured contractors, relevant local authorities, Suffolk County Council and the Department for Energy Security and Net Zero (DESNZ). Your information will be retained by DESNZ for 25 years, and by Lendology and East Suffolk Council for up to eight years after the end of the funding period. You can ask us to delete your information at any time. Further information about how we use individuals’ personal data can be found on the East Suffolk Council website and in the Warm Homes Suffolk Privacy Policy . I confirm that by completing this form I have read the above statement and consent to my information being used for this purpose.

I agree with the statement above.