following documentation must be provided by anyone
interested in receiving Weatherization
Assistance. Interested parties must call
their local service
provider and provide the minimum documents required
to process your application.
Signed Notice of Rights and Obligations
A copy of documents verifying earned income over the
past thirty (30)
days, at a minimum (examples - pay stubs, bank
statements indicating direct deposits from wages,
money, commissions, tips and salaries before any
A copy of an award letter or three (3) months of
bank statements, indicating the deposits (examples -
Social Security, SSI, Veteran Benefits, pensions,
disability income, military income, unemployment
benefits, child support, alimony, interest income,
dividends, regular insurance or annuity payments).
Copy of your power bill and/or gas bill (both
For homeowners, a copy of your deed or tax bill
For renters, Weatherization Service Agreement
and Owner's Investment Form signed by your landlord.
your completed application packet containing the above
mentioned forms and documentation to the service
provider for your service area.
of Rights and Obligations