Your Details

All questions marked with * are mandatory

Title*

First Name*

Last Name*

Email Address We will use your email details to contact you if we require further information

Confirm Email Address

The email addresses entered to not match

Telephone Number*

Address

Postcode*

Line 1*

Line 2

Town/City*

County

Is your electricity supplied by either British Gas or Sainsbury's Energy?*

Yes No

Your ELECTRICITY must be supplied by either British Gas or Sainsbury's Energy for you to be eligible for the scheme

Electricity Account Number* Your electricity account number can be found on your electricity bills, it should be 12 digits long andstart with 85, e.g. '851111111111'

Please provide a valid reference number

Is your gas supplied by British Gas or Sainsbury's Energy?*

Yes No

Do you want your Warm Home Discount payment applied to your GAS account?*

Yes No

Gas Account Number* Your gas account number can be found on your gas bills, it should be 12 digits long andstart with 85, e.g. '851111111111'

Please provide a valid reference number

Criteria Questions

All questions marked with * are mandatory

Primary Qualifiers

Are you (or partner) in receipt of Pension Credit Guarantee & Savings or Pension Credit savings only?*

Yes No

Do you (or partner) receive Income-Related Employment and Support Allowance (ESA) that includes a work related activity or support component?*

Yes No

Do you (or partner) receive Income-Based Jobseekers Allowance (JSA) or Income Support?*

Yes No

Are you (or partner) in receipt of Universal Credit and is not in work or is not self employed?*

Yes No

Are you (or partner) in receipt of Universal Credit and in work or self-employed with monthly net earnings not exceeding £1,349*

Yes No

Grosss Annual Household Income Information

Gross Household Income (before tax and deductions) for all household members INCLUDES:

War Disablement Pension
Disablement Pension Allowance
Working Tax Credit
Wages / Self-employed Income
State Pension / Private Pension / Annuities
Dividends
All DWP benefits (Unless included in exclusions)
Rent from property
Students: Maintenance loans (student loan company/finance)
Any other income stipulated by customer that is not listed in exclusions

Gross Household Income (before tax and deductions) for all household members EXCLUDES:

Council Tax Benefit / Council Tax Support
Housing Benefit / Housing Element for UC
Attendance Allowance (AA)
Disability Living Allowance (DLA) or Personal Independence Payment (PIP)
Child Tax Credit / Child Element for UC
Child Benefit
Child Maintenance
Students: Tuition fees

Annual Household income is less than £16,190?*

Yes No

Are you (or partner) in receipt of Child Tax Credit by virtue of an award which is based on an annual income not exceeding £16,190?*

Yes No

Criteria Questions

All questions marked with * are mandatory

Secondary Qualifiers

Do you (or partner) have parental responsibility for a child under the age of 5 years who lives with you?*

Yes No

Do you (or partner) receive a Disabled Child Premium?*

Yes No

Do you (or partner) receive Disability or Enhanced Disability Premium?*

Yes No

Do you (or partner) receive Pensioner Premium or Higher Pensioner Premium or Enhanced Pensioner Premium?*

Yes No

Do you (or partner) receive Limited Capability for work element with or without Work Related Activity element?*

Yes No

Are you (or partner) in receipt of State Pension?*

Yes No

Do you (or household member) Require Constant Care?*

Yes No

Do you (or household member) rely on Mains Powered Medical Equipment?*

Yes No

Do you (or household member) suffer from long term /chronic ill health or mental illness?*

Yes No

Do you (or household member) receive Disability benefits or Registered disabled?*

Yes No

Are your household fuel bills for heating more than 10% of Gross Annual Household income?*

Yes No

Consent Statement

I understand British Gas might need to check that I am eligible for the Warm Home Discount Scheme by asking the Department for Work and Pensions to confirm whether I am in receipt of a qualifying benefit.

If the Department for Work and Pensions cannot confirm that I receive the qualifying benefits to be eligible to receive the discount I may need to send British Gas copies of my benefit letters. We use a third party, Charis Grants, to support us in carrying out these eligibility checks.

If I change electricity supplier before my discount is paid I will no longer be eligible.

You confirm you have read and agree to the above statement*

Yes

PROCESSING APPLICATION...

Your Warm Home Discount application
has been successful

Please save or print this page for your records

What happens next?
Before you receive a payment, we may need to contact you to double check your income and any benefits you get.

All payments will be made before the 31st March 2019. If you have a credit meter the payment will show on your statement If you have a prepayment meter we’ll send you a letter to take to the Post Office to top up your meter If you have a smart prepayment meter we’ll apply the credit direct to your meter, we’ll let you know when this has happened.

Any questions?
Find out more about the Warm Home Discount scheme online at direct.gov.uk/warmhome

If you want to speak to us about anything else, click HERE or just give us a call on 0333 202 9802*.

Please don’t forget, if you change Electricity supplier before next winter you’ll need to speak to them about getting the Warm Home Discount, even if you asked for the payment on your gas account.

{{electricAccountNumber}} is the reference number that you provided on your application

You don’t qualify for the
Warm Home Discount

We’ve checked the information you gave us and you didn’t meet the criteria to qualify for the discount.

If you think we’ve got it wrong
Give us a call on 0800 072 8625* and we’ll look into it for you. You can also check the rules for getting the Warm Home Discount at direct.gov.uk/warmhome

There are lots of ways we can help you, go to www.britishgas.co.uk/waysWeCanHelp/GetStarted

*We record calls to help improve our service to you. Calls to 0800 numbers are free from mobiles and landlines. Calls to 0330/0333 numbers will cost you no more than 01 or 02 numbers from landlines and mobiles. If you get 'inclusive minutes' with your package, calls to 0330/0333 numbers will be part of these.

British Gas Scottish/Gas is the trading name of British Gas Trading Limited. Registered in England & Wales (Registered No. 03078711). Registered Office: Millstream, Maidenhead Road, Windsor, Berkshire SL4 5GD. britishgas.co.uk scottishgas.co.uk British Gas is a mandatory FiT Licensee

Your Details

Address

Criteria Questions

Primary Qualifiers

Criteria Questions

Secondary Qualifiers

Consent Statement

PROCESSING APPLICATION...

Your Warm Home Discount application has been successful

Please save or print this page for your records

You don’t qualify for the Warm Home Discount

Your Warm Home Discount application
has been successful

You don’t qualify for the
Warm Home Discount