HSFx | Citizens Advice East

First name

Last name

Multi-line address

Country/Region

Address

City

Zip / Postal code

Phone

Who do you get your energy from (eg British Gas, EDF, Eon etc)

How do you pay for your energy

Prepayment card or key

Prepayment Smart Meter

Direct Debit

If you pay your supplier by direct debit or on receipt of your bill, please confirm you have less than £300 of debt on your account. If you have more than £300 of debt on your account, we are unable to issue a household fund voucher, but can offer advice on resolving this issue.

Please confirm

I agree I have less than £300 of debt on my energy account. Please take a photo of your meter, or your most recent energy bill and email to hsf@citizensadviceeastdevon.org stating your name and address

I have more than £300 of debt on my energy account and give permission for Citizens Advice East Devon to refer me to RESET to offer advice on how to reduce this debt.

As part of our support with this process, Citizens Advice East Devon will record your information on our database. We will use this information to provide you with advice as well as to improve our service and inform our campaigns. If you want more information about your rights and how we use your information you can read our privacy notice on our website. www.citizensadvice.org.uk/myinformation or https://www.citizensadviceeastdevon.org/privacy-policy

Please confirm

I agree to my details being recorded

I do not agree to my details being recorded and therefore understand this will mean my claim cannot be processed

I give permission to Citizens Advice East Devon to share my details with Charis (organisation who coordinate the HSF vouchers) to enable my application to be completed.

Citizens Advice East Devon are part of a group of offices offering an additional service for energy related issues, the project is called Energy RESET. By applying for the HSF vouchers you will automatically be signed up to the Energy RESET offer, which provides energy advice, as well as help with billing issues and energy debt.

Please confirm

I agree to my details being shared to complete the process of receiving HSF vouchers

I do not agree to my details being shared and therefore understand this will mean my claim cannot be processed

Thank you for completing the relevant information. We do need all questions and information requested to be provided, to allow the completion of the process and the issuing of the vouchers. Please remember to email the photo evidence to the email address hsf@citizensadviceeastdevon.org putting your full name as the subject title. If you have any further questions, or difficulties with completing the form or actions, please email us on hsf@citizensadviceeastdevon.org

Please confirm

I agree I have read and completed the actions required (including emailing the photo of your meter or your most recent energy bill)

Household Support Fund Vouchers

This is the only way to apply for energy vouchers

If you pay your supplier by direct debit or on receipt of your bill, please confirm you have less than £300 of debt on your account. If you have more than £300 of debt on your account, we are unable to issue a household fund voucher, but can offer advice on resolving this issue.