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Q

Energy Benefit

Humanitarian Case

Energy Benefit Humanitarian Case

Applicant’s Details

Is the applicant the same person responsible for the household?
Is the medical equipment used rented?

Contact Details

Details of Person Responsible for the Household

Water and Electricity Account Details

Is the water and electricity account holder the same person as the applicant above?
Provide details of the account holder.

Application Details

Is the person responsible for the household in receipt of a Service Pension and/or other foreign pensions?
Are any of the applicants, person responsible for household and/or Spouse/Partner, employed?
Are any of the applicant, person responsible for household and/or Spouse/Partner, self-occupied?

Necessary Documents

Maximum file size: 1MB

Maximum file size: 1MB

Maximum file size: 1MB

Maximum file size: 1MB

Maximum file size: 1MB

Employed Person Documents

Maximum file size: 3MB

Attach for all members, including applicant / Person responsible for household / Spouse/Partner

Self-Occupied Person Documents

Maximum file size: 3MB

Attach for all members, including applicant / Person responsible for household / Spouse/Partner

Maximum file size: 3MB

Attach for all members, including applicant / Person responsible for household / Spouse/Partner

Maximum file size: 3MB

Attach for all members, including applicant / Person responsible for household / Spouse/Partner
Application is submitted by

Read the Social Security Declaration

Read the Data Protection Declaration


I accept the Social Security and the Data Protection Declarations

Maximum file size: 2MB

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