Who can complete this form
Complete this form if you are of pensionable age and need support with energy bills.
About this form
Use this form to get help with:
- checking your eligibility for Pension Credit and Winter Fuel Allowance payments and support to make an application
- energy costs if you are struggling to keep yourself warm or struggling to afford your bills
- energy advice on keeping yourself warm in an affordable way
To apply for help for yourself you need to:
- tell us your age or date of birth
- give us your contact details including:
- email and phone number
- address
To apply for help for someone else you need to:
- tell us who you are trying to get help for
- tell us their age or date of birth
- give us contact details for the person you want to get help for including:
- email and phone number
- address
If you need help to fill in this form, you can:
