Title Page

  • Type of Survey

  • House number and Street Name

  • Conducted on

  • To enable the administration of the Energy Efficiency Project, Exeter City Council are required to process personal
    information relating to you and your home. Your information will be shared with Exeter City Council, your installer,
    and the Department for Business, Energy and Industrial Strategy (BEIS) who are funding the installations as part of
    the Green Homes Grant Local Authority Delivery Scheme. Data processing will only be carried out for the purpose of
    delivery, administration and evaluation of this scheme as well as statistical, research and fraud prevention
    purposes. The eligibility for funding may rely on persons within household being in receipt of one or more benefits,
    It is expected that processing will include linking of your personal data to other datasets and, may involve
    contacting you to ask if you would like to participate in further research and evaluation activities

  • Do you consent to being recontacted by Exeter City Council, BEIS, or their<br>appointed contractors, for the purpose of research and evaluation related<br>to the installation received under Energy Efficiency Project.

  • Can you confirm that the household is in receipt of one or more benefits?

  • Can you confirm that the households total income does not exceed £30,000 per year?

  • Surveyor name and Signature

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