Low-Income Housing Energy Upgrade Grant Application

Applicant Information

Full Name Address Phone Number Email

Eligibility Details

Household Size Annual Household Income Proof of Income/Eligibility

Property Information

Property Type Single-Family Multi-Family Other Do you own or rent? Own Rent

Upgrade Request

Type of Upgrade Requested Insulation Windows Energy-Efficient Appliances HVAC Solar Panels Other Brief Description of Current Issues

Additional Information

Additional Comments