Energy Program Eligibility Form Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Name *FirstLastPhone *EmailAre you a customer of one of these utilities? (select 1) *PSE&GJCP&LNJNGSJGETGNot SureHow many people live in your household? *— Select Choice —12345678+What is your estimated annual household income (before taxes)?Under $39,901$39,901 – $63,840Over $63,840What is your estimated annual household income (before taxes)?Under $54,101$54,101 – $86,560Over $86,561What is your estimated annual household income (before taxes)?Under $68,301$68,301 – $109,280Over $109,280 your annual income What is your estimated annual household income (before taxes)?Under $82,501$82,501 – $132,000Over $132,000What is your estimated annual household income (before taxes)?Under $96,701$96,701 – $154,720Over $154,720What is your estimated annual household income (before taxes)?Under $110,901$110,901 – $177,440Over $177,440What is your estimated annual household income (before taxes)?Under $125,101$125,101 – $200,160Over $200,160What is your estimated annual household income (before taxes)?Under $139,301$139,301 – $222,880Over $222,880Are you an Owner or a Renter? *OwnerRenterYou may qualify for the New Jersey Comfort Partners Program! Comfort Partners provides no-cost weatherization and energy efficiency upgrades to income-qualified households. Since 2001, this NJ energy efficiency program has improved more than 126,000 New Jersey homes. It’s a partnership between the New Jersey Board of Public Utilities (NJBPU) and participating electric and gas utilities, funded through the Societal Benefits Charge (SBC) — a small fee already included in your monthly utility bill.You may qualify for the Moderate Income Free Home Weatherization! If you live in NJ and meet the income guidelines, you may qualify for the Home Weatherization for Income-Qualified Customers program, which provides no-cost home weatherization services that can make your home more comfortable, safer, and more energy-efficient. Qualified households can receive: A free home energy assessment Up to $14,000 in energy-efficient home upgrades at no cost to you Up to $2,500 in health & safety improvements at no cost to you That’s up to $16,500 in total improvements at no cost to you, funded through New Jersey’s public utilities.You may qualify for the Whole Home Energy Solutions! Upgrade your home’s comfort and efficiency with a no-cost Whole Home Energy Assessment. Lower your energy bills, improve indoor air quality, and take advantage of rebates and 0% APR On-Bill Repayment on qualifying upgrades with the Whole Home Energy Solutions program. SMS consentI agree to receive customer-care text messages from GreenLife Energy Solutions regarding inquiries, applications, appointments, project updates, document requests, and service follow-up.By checking this box, you agree to receive customer-care text messages from GreenLife Energy Solutions about inquiries, applications, appointments, document requests, project updates, and service follow-up. Message frequency varies. Message and data rates may apply. Reply STOP to opt out or HELP for assistance. Consent is not required to receive services. Privacy Policy and Terms: https://greenlifeisgood.com/privacy-policy-and-terms-and-conditions/Submit
