* Mandatory field
Full name

* Mandatory field
Address
* Mandatory field
E.ON Account Number

Please provide us with your E.ON electricity account number which will appear on your electricity bill. Please enter in the box below with no spaces. The account number will be between 10-12 digits long.

* Mandatory field
Phone number

Please make sure you provide us with your up to date telephone number as we may need to contact you about your application

* Mandatory field
Email address

Eligibility section

In this section, please tell us about the benefits you or your partner receive. There are four categories. Please tick any of the benefit statements below which apply.

Pensioners





Families



Disabilities






Pregnancy or medical condition



* Mandatory field
Customer Declaration

As well as rebates payable under the Warm Home Discount, there are other ways we may be able to help you reduce your fuel bills. For example, you may be eligible for free loft insulation or cavity wall insulation.