Home Upgrade Grants - Application form

Which council does your property come under? *

Select one option Birmingham City Council Rugby Borough Council Sandwell Council Dudley Metropolitan Council

What fuel do you use to heat your home? *

Select one option Mains Gas - please note you will not be eligible for this scheme if you use mains gas to heat your property LPG Oil Electric Biomass Other

What is the EPC rating of the property? *

Select one option Unknown/No EPC A B C D E F G

Full Name *

First line of address *

Postcode *

Email Address *

Phone Number *

Number of Adults (18-64) in the Household *

Select one option 0 1 2 3 4 More than 4

Consent for storing submitted data *

I agree to WMCA’s privacy policy