Weatherization Program | Madison, WI

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

Contact Information

Name

First Name *

Last Name *

Address (Required)

City (Required)

State (Required)

Zip Code (Required)

Phone (Required)

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Email (Required)

*If you are a renter, please provide the building owner's information

Owner's Name

Owner's Address (with State & Zip)

Owner's Phone

Owner's email

ABOUT YOUR HOME

Type of home

Single Family House
House Duplex
Apartment Building (4-24 units)
Condo

Type of Heating System

Furnace
Electric Baseboard
Boiler
Not Sure

I Am Interested In - (select all that apply)

Insulation
Air Sealing
Refrigerator
Bathroom Fans
Furnace Work

Does Your Home Have a Roof Leak?

No, not that I know of
Yes, minor roof leak(s)
Yes, roof needs to be replaced

**If you believe you need a roof replacement, our Major Home Repair programs may be able to help! CLICK HERE, to find out more.

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

Ice Damming
Mold/Moisture
Rodents/Bats/Pests
Damaged Walls or Ceilings

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)

Dog
Cat
Bird
Other
No pets

Customer Bill of Rights & Pet Policy

(Please read before continuing)

*(Please check each box below to confirm)

As the owner or renter, I hereby certify:

I have reviewed a copy of the State of Wisconsin Division of Energy Services (Home Energy +) Customer Bill or Rights.

As the owner or renter, I hereby certify:

I have reviewed Project Home's Pet Policy, and agree to adhere to this policy.

As the owner or renter, I hereby certify:

I am aware that any materials potentially disturbed during the weatherization process may be tested for asbestos content.

As the owner or renter, I hereby certify:

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

Contact Information

*If you are a renter, please provide the building owner's information

ABOUT YOUR HOME

*(Please check each box below to confirm)

A Little About the Weatherization program.