Cold to Cosy Homes application

Is there anyone (e.g. a carer or relative) who should be the primary contact used to arrange the visit?
If yes, please enter their details below:

Please read the the following statement to the applicant, then tick the box below to confirm that they agree to sharing their information with us.
"I understand that a member of staff at Cumbria Action for Sustainability and the LEAP contact centre will telephone me to ask me further questions to confirm my eligibility for the scheme and arrange a home energy visit or call. I understand that this may include questions regarding my health and financial status and/or that of members of my household. I understand that my personal information will not be shared with or used by anyone outside this programme without my explicit consent unless the law allows for the sharing of information for the purposes of prevention and detection of crime or where I, or another person would otherwise be at risk of serious harm."