Energy Advice Referral Form
You can refer yourself or other person for help with any energy issue
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Have you contacted us before?
Do you have a smart meter
I am not sure.
If you are from an organisation and are referring another person, please enter your name and contact details.
What do you need help with? (please tick all that may apply)
If you select Other, please type what you need help with
I am thinking about switching my energy supplier or tariff
I want to apply for a grant to improve the energy efficiency of my home
I want to apply for a £140 discount on my energy bill
I cannot read my energy meter
I am struggling to understand my energy bills
I cannot afford my energy bills
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This form was created inside of Westminster Citizens Advice Bureau Service.