Weatherization Program | Madison, WI

**If so, complete Project Home's Weatherization application (below) so we can improve the comfort of your home!

Name

First Name

Last Name

Address (Required)

City (Required)

State (Required)

Zip Code (Required)

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Phone (Required)

Email (Required)

Owner's Name

Owner's Address (with State & Zip)

Owner's Phone

Owner's email

Type of home

Type of Heating System

I Am Interested In - (select all that apply)

Does Your Home Have Any of the Following? - (select all that apply)

Is there any construction, or planned construction, at your home?

Is your home currently for sale or in foreclosure?

Do you have pets? - (select all that apply)

(please check each box to confirm)

I have reviewed a copy of the State of Wisconsin Division of Energy Services (Home Energy +) Customer Bill or Rights.
I have reviewed Project Home's Pet Policy, and agree to adhere to this policy.
I am aware that any materials potentially disturbed during the weatherization process may be tested for asbestos content.
I understand the property owner agrees not to increase the rent, solely because of weatherization improvements, for one (1) calendar year (beginning the date of a satisfactory final inspection).

(Condo Owners Only)

I agree to take all contracts with Project Home to my condo association for approval and have them co-signed by my condo association or other governing body at the property in which I reside.

CERTIFY ALL APPLICATION INFORMATION

By checking this box, I certify that all information on this application and given in connection with it is, to the best of my knowledge, a true and complete statement of facts.

Weatherization Program Application