Free Weatherization Authorization Form

Please fill out this form completely to authorize weatherization services for your property.
Property Information
Property Address
Phone number
Applicant Information
Name
Date of Birth
Are you the property owner?
If not, please provide the property owner's name and contact information.
Property Owner's Name
Phone number
Services Authorized
Please check all services you authorize
Insulation Installation
Window/Door Sealing
HVAC System Improvements
Energy Audit
Acknowledgment and Signature
I authorize the above-listed weatherization services to be performed on the property located at the address provided. I certify that I am authorized to grant this permission.
Name:
Date:
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Securing approval for energy-efficient home upgrades is made easier with the help of the Weatherization Authorization Form Template. Professionally record property information, approved services, and homeowner approval. This template, which can be fully customized and edited using the AI Editor Tool, is ideal for weatherization programs and energy contractors looking to increase energy savings. Download now!