Telephone: 0800 316 4320* www.nes-saver.com/lowcostboilers Landlord Permission I hereby give permission to Northamptonshire Energy Saver, (a partnership between Northamptonshire County Council and British Gas)to assess the property at the address given below and to install an A rated gas boiler subject to a no obligation survey for my property and a qualifying benefit review of the tenant. I understand any costs towards the installation will be discussed with me prior to an install date being arranged. Name of Tenant: Address of property: Name of Landlord/ Management Agent: Address of Landlord/ Management Agent: Telephone Number: Date: Print Name (Landlord): Signature Please note: No survey will take place unless this form has been completed and returned to British Gas. Please return your completed form to: British Gas, Low Cost Boiler Scheme, Number 1, Waterfront Avenue, Edinburgh, EH5 1SG British Gas is the trading name of British Gas New Heating Limited which is authorised and regulated by the Financial Conduct Authority for its consumer credit activities. Registered in England & Wales (Registered No. 06723244). Registered Office: Millstream, Maidenhead Road, Windsor, Berkshire SL4 5GD. * Calls may be monitored or recorded for quality assurance purposes. Calls to 0800 are free from a BT Landline. Call charges from other networks or mobiles may be higher. Please contact your network operator for information about the cost of calls. Phone lines open Mon – Fri 9am – 7pm, closed on Bank Holidays.