* Mandatory field
Full name

* Mandatory field
* 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 8-12 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

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Email address

Eligibility section

In this section, please tell us about the benefits you or your partner receive.

Please tick any of the benefit statements below which apply.

Not receiving the Guarantee element of Pension Credit and either:

Child Tax Credit:

Income-related Employment and Support Allowance:

Income Support or Income-based Jobseeker's Allowance, with any of the following:

# (Disability/enhanced/severe disability premium or pensioner/higher pensioner premium)

Working Tax credit with a relevant income of £16,190 or less with either of the following:

Universal Credit with a total household income of less than or equal to £16,190 with either
of the following:

* 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 loft insulation or cavity wall insulation.