Who can complete this form
Complete this form if you are of pensionable age and need support with energy bills this winter.
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 this winter
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:
