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)

Phone (Required)

Email (Required)

Owner's Name

Owner's Address (with State & Zip)

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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