Application for Weatherization Layout Would you like to opt in for texts? *
Texts can be stopped at any time.
Layout Do you own or rent your home? *
Since you chose that you have lived the in the home for less than 1 year and own, the program requires 12 months of utility data. Your home is not eligible at this time, however, please submit this application so that we may contact you when you are eligible and provide the move-in date so our office may contact you once it has been at/over 12 months.
Move In Date *
Does not have to be exact,.
Additional Approval Form Required for Renters:
The Landlord Agreement is a form that is signed by the landlord consenting that the home be weatherized. At to the tenant and landlord. The agreement will be sent via mail or email in advance and must be signed by the landlord prior to the energy audit. NO COST
*GreenLife office will reach out to you regarding the landlord agreement. Do you own your refrigerator? * Are you aware of any of the following issues in the home:
*If you smell gas in your home, please call your gas company's gas leak line or 911 as soon as possible!
If other, please explain. * Have you ever had Comfort Partners or any other weatherization program before? How did you hear about the program? * Authorization *
I certify that all information provided above is correct to the best of my knowledge, and I give the New Jersey Board of Public Utilities, NJ’s Clean Energy Program and participating New Jersey Comfort Partners utilities and contractors permission to: 1) share my records with all parties planning to do work on my home or evaluate my energy usage; 2) use, at no charge, any description or pictures relating to the work performed at my home; and 3) have reasonable access to my home to inspect the work performed. I understand that all work is guaranteed for a period of one year.
If you have any questions prior to submitting the application,
please contact our office.
Hours: 8:30 AM - 5:00 PM, Monday to Friday