Main Office:(715) 424-2581
AmeriCorps:(715) 849-5212

Weatherization Application



Benefit lnformation: If you qualified for an Energy Assistance Benefit fhe first part of the program is a cash benefit to assist in heating costs. The second part of your benefit is a weatherization assessment. You may receive free energy updates such as heating svstem and water heater upgrades, refrigerator/freezer replacement, attic and exterior wall insulation, air leak sealing, LED light bulbs and water saving devices all at NO COST TO YOU. If you rent, fill in the information about your landlord and we will contact them .  We will contact you in the next several weeks to schedule an energy evaluation.


I am authorizing the agency to provide weatherization services to my dwelling unit at the address shown above. If I am not the owner of the dwelling unit, I authorize the agency to contact my landlord, and I will cooperate with the agency providing weatherization services.
I authorize my fuel supplier(s) and electrical utility company to release account information to the agency.
I authorize coordination between the fuel supplier(s) and the agency to provide maximum benefits to my household.