Warm home discount application form

Please fill in your details below, to apply for your discount.

Is your electricity supplied by Lumo?

Please answer yes or no to the following questions.

Do you (or partner) get Income Support?
Do you (or partner) get income based Jobseeker's Allowance (JSA)?
Do you (or partner) get Income Related Employment and Support Allowance (ESA) which includes a support component?
Do you (or partner) get Income Related Employment and Support Allowance (ESA) and are a member of the work-related activity group of ESA?
Do you (or partner) get Universal Credit and your Gross Monthly Household Income does not exceed £1,349?
Do you (or partner) get Child Tax Credit by virtue of an award which is based on an annual income not exceeding £16,190?
Is the Gross Annual Household Income (before benefits, tax and deductions) less than £16,190?
Do you (or partner) have a child who is disabled?
Do you (or partner) get Child Tax Credit that includes a disability or severe disability element?
Do you (or partner) have parental responsibility for a child in full time education, who was born on or after the 1/09/1998?
Do you (or partner) have parental responsibility for a child under 5 years who ordinarily resides with you?
Do you (or partner) get a severe premium, disability premium or enhanced disability premium?
Do you (or partner) get a pensioner premium, higher pension premium or enhanced pension premium?
Do you (or partner) get a limited capability for work element (with or without a work related activity element) as part of your Universal Credit?
Do you (or partner) get a disabled child element as part of your Universal Credit?
Do you (or partner) have parental responsibility for a child who is disabled and get a child disability premium?
Do you (or partner) get disability benefits or are registered disabled?
Do you (or partner) suffer from a long term physical/mental illness or require constant care?
Do you (or partner) rely on mains powered medical equipment?
Are your fuel bills for heating more than 10% of the Gross Annual Household Income?
Do you (or partner) get exemption from NHS prescription charges because you have on-going or chronic illness or are pregnant or had a baby within the last 12 months?