To complete an initial intake by phone, ask questions, or request an application form be mailed to you, please call 1-800-639-3212.


Forms For Homeowners

Weatherization Application

To be completed by all applicants

Income Verification

To be completed by any member of the household over 18 who is employed

Permission To Enter

To be completed by any owner/co-owners not residing in the home


Rental Property Owner & Tenants

Weatherization Application

To be completed by all applicants

Fuel and Electrical Data Release

Only needed if property owner pays utilities

Income Verification

To be completed by any member of the household over 18 who is employed

Agreements & Supplemental Forms