Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Landlord details
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My full name is
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My contact telephone number is
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My contact e-mail address is
Address verification
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The address that I am the registered private landlord of is
Tenancy information
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The tenant of this property is
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I confirm that this tenant has a valid tenancy agreement and is the tenant of the property as per this date.
Consent
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I hereby give formal consent to Help-Link UK Ltd to conduct an energy efficiency review of this property with the intention of installing energy efficiency measures under the Government ECO scheme. I am aware that this may include the installation of a new boiler and controls and/or loft and cavity wall insulation measures if applicable. I am aware that any installation is subject to the energy efficiency review and/or technical survey of the property. I am aware that my details may be shared with the utility funder of these measures and/or Ofgem by means of proving eligibility to the scheme. I am also aware that should the property be selected for audit by the utility funder and/or Ofgem, I agree to allow access to the property for this audit to be conducted.
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Landlord signature
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Date of consent
Surveyor information
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Tenancy agreement photograph
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Surveyor name
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Sign to confirm witness to tenancy agreement and that all information entered is true and correct as far as can be reasonably identified
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Date/time
