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IMPORTANT: Please read the information below before completing the application form.
Connect for Help application form
This service is delivered by Agility Eco Services Limited, Bierce Surveying and Income Max Community Interest Company and is funded by the Warm Homes Fund. The personal information that we and other relevant organisations may process includes but is not limited to your contact details, information about your property and energy supply and income and welfare benefits.
We will protect and process your personal information in accordance with our data protection policy, a copy of which is available at agilityeco.co.uk/privacypolicy.
Before referring you on to any other service, we will seek your consent. Your personal information will not be used for any other purpose whatsoever.
If you have any difficulty viewing or using the embedded form, click here to access an alternative version. This version may work best for you if you’re using an older web browser or a mobile device. If you have any issues with this please let us know at email@example.com
For more information on how we handle your personal data, please read the Your Personal Data page.