Request a Loft Upgrade 
Thank you for your interest in the Leaky Homes Loft Upgrade.  This form is to request a loft check, to show if your loft is suitable for loft insulation.   

If your loft is suitable, we can provide up to 6 rolls of loft insulation for you to install.  This is free of charge for council tax bands A-D.  (The insulation is subsidised for other households and will cost £10 per roll for council tax bands E-F or £20 per roll for council tax bands G-H.).  This offer is funded by UK Power Networks.
 
All fields marked with a * are required and must be filled.  All data will be handled in accordance with data protection laws.  It will only be used by Energy Action Redhill and Reigate for the purposes of offering energy efficiency advice and materials.  

Energy Action Redhill and Reigate
W: earr.co.uk/loft  |   E: info@earr.co.uk  |  T: 07707 533587 

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Email *
Your name *
First line of address *
Postcode *
Phone number *
My housing status in relation to the above property is *
How much loft insulation do you currently have?  (Please note if you have more than 150mm thickness across your loft then you are unlikely to be eligible.) *
Please confirm which days you are available for your loft assessment.  (The assessment will take around 30 minutes.  It will be carried out by an Energy Champion who will require access to your loft.) *
Required
If Tuesdays/Fridays are not suitable, please state which day and time would be convenient for a loft check.
Terms & Conditions
  1. Completing this form does not guarantee that you will receive loft insulation.  To qualify, your existing loft insulation must be significantly below the recommended guidelines of 270mm and your loft must be suitable for additional loft insulation to be added.  This will be decided by a loft assessment visit, carried out by an EARR Energy Champion.   
  2. Any loft insulation or energy efficiency measures provided through this offer are for the householder's use only, within their own home.  
  3. Neither Energy Action Redhill and Reigate, nor its directors, accept any liability for issues arising from the use of loft insulation or other energy efficiency measures provided through the Leaky Homes initiative.     
I confirm that I have read and accept the Terms & Conditions of this offer
 *
Data Protection
This offer is being funded by UK Power Networks, who are regulated by OFGEM.  UK Power Networks are keen to monitor the quality of the service EARR is offering, so you may be randomly selected to take part in a  customer satisfaction telephone survey.  This is an important way to demonstrate the impact that the Leaky Homes Loft Upgrade is making.   However your permission is entirely voluntary and does not affect eligibility for the Loft Upgrade.
I confirm that my contact details only may be passed to the project funders for the purpose of customer satisfaction surveys. *
Where did you hear about this service?
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