More warmth for your home 
You could claim a Warm Front Grant of up to £3,500 from the Government to make your home 
warmer and healthier. 
Some homes that need oil central heating may receive a grant of up to £6,000. 
If you have received a grant before, you may qualify for extra insulation and heating work, depending on 
The Scheme targets those on certain benefits and living in properties that are poorly insulated 
and/or do not have a working central heating system. You must own your home or rent it from a 
private landlord. 
The Warm Front Scheme is only available in England. 
Housing association or local authority tenants do not qualify. 
the improvements you originally received. 
More warmth for your home 
You could claim a Warm Front Grant of up to £3,500 from the Government to make your home 
warmer and healthier. 
Some homes that need oil central heating may receive a grant of up to £6,000. 
If you have received a grant before, you may qualify for extra insulation and heating work, depending on 
The Scheme targets those on certain benefits and living in properties that are poorly insulated 
and/or do not have a working central heating system. You must own your home or rent it from a 
private landlord. 
The Warm Front Scheme is only available in England. 
Housing association or local authority tenants do not qualify. 
the improvements you originally received. 
Application form 

Please tick all boxes that apply. 
I own my home. 

I rent my home from a private landlord 
(If you rent please give contact details in the other contact details below). 

I qualify because I receive the following: 
Income-related Employment 
and Support Allowance 
State Pension Credit 
• Guaranteed Pension Credit 
• Savings Pension Credit 
Your youngest child’s date of birth / / 
Income Support (ISA) and; 
• Has parental responsibility for a child under the age of 5 years. 
• Child Tax Credit (CTC) including disability or severe disability element. 
• Disabled Child Premium (DCP). 
• Disability Premium (DP) enhanced disability or severe disability element premium. 
• Pension Premium (PP) higher pension premium or enhanced pensioner premium. 
Your youngest child’s date of birth / / 
Job Seekers Allowance (JSA) and; 
• Has parental responsibility for a child under the age of 5 years. 
• Child Tax Credit (CTC) including disability or severe disability element. 
• Disabled Child Premium (DCP). 
• Disability Premium (DP) enhanced disability or severe disability element premium. 
• Pension Premium (PP) higher pension premium or enhanced pensioner premium. 
Phone number 
(with dialling code) 
Other contact details 
This may be the number of a relative or friend 
who we can call about your application. 
Name 
Please provide us with additional information about the energy efficiency of your home: 

Does your heating system work? 
Does your property have loft insulation? 
Does your property have cavity wall insulation? 
Yes 
Yes 
Yes 
No 
No 
No 
Mr Mrs Miss Ms Dr Other (please specify) 
First name Surname 
Your date of birth 
Your Address 
(with postcode) 
If you are a private tenant, 
please enter your Landlord’s 
name and address here 
(with postcode) 

Phone number (with dialling code) 

E-mail address 

Can we contact you by e-mail? Yes 

No 

Your signature 

Date/ / 

The Warm Front Scheme (England) Regulation 2005 MK763