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Energy Hardship Application

Your Details:

Please remember to provide and email address or telephone number so we can get back to you.


Client Details:

Please remember to provide a method of contact so we can reach the client.


Application Details:

Information required to submit the application.


Please select the type of supply to see what evidence is required to support the application.

The applicant can supply the information via these methods:

• If the evidence is available now you can attach to this form using the “Attach a document” button below

• Email – energy@citizensadvicerushmoor.org.uk

• A secure upload link can be sent to applicant via email to upload photos from their phone - please request this in the additional comments box below

• Arrangements can be made for the applicant to bring the files to one of our offices – please request this in the additional comments box below