Quayside Offices, Dock Rd, Ardrossan, KA22 8DA

Lemon Aid Self Referral Form

Please complete this form if you wish to apply for home energy support via CHA's Lemon Aid Service.

Your Details

This area must be competed at all times for the referral to be accepted by Lemon Aid
By typing your name in this box you are giving permission for the provision of information relating to your advice needs to the CHA Lemon Aid Team. You understand and agree that all information given will be available for the purpose of assisting you with your Energy bills.
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