Energy vouchers - Together for Short Lives

We award energy vouchers to families caring for a child with a life-limiting condition, who are supported by a palliative care service, and who live in an area covered by Southern Gas Network (SGN).

Check availability in your area with the SGN Postcode Checker. If you qualify, we can offer a £99 voucher for your pre-payment meter or a £150 voucher to add to your energy account.

Energy voucher application

"*" indicates required fields

Energy account holder*

First name Surname

Relationship to child*

Which hospice or palliative care service are you supported by?*

Who is your main contact at the hospice or palliative care service?*

First name Surname

Do you live in a SGN area?*

Yes

Please check your postcode using the link at the top of this form.

You do not meet the criteria for an energy voucher.

Address*

Street Address Address Line 2 City/town/village County Postcode Country

Mobile number*

Email address*

Enter Email Confirm Email

Number of people living in your household*

Ethnicity

We use this to monitor how our services support different demographic groups.

Energy provider*

How do you pay for your energy?*

Account

Prepayment meter

If you use gas, would you like a carbon monoxide monitor?

Yes

We take your privacy seriously, and information about how we protect and use your personal data is set out in our privacy notice. You can withdraw or update your communication preferences at any time by calling 0117 989 7820, emailing supportercare@togetherforshortlives.org.uk.

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