Home Winterproofing Program Application

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  • Tell us about you - Customer Contact Information
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  • Tell us about your home
     
     
     
     
     
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  • Eligibility criteria for the program

     




         
  • Applicant Certification
    I understand that my rent cannot increase as a result of this program.I understand that information provided by me will be used solely for program purposes and will otherwise be kept confidential.I will provide documentation confirming income eligibility to the Delivery Agent (not necessary when application is completed by a referring agency).  
    I give permission to ENBRIDGE GAS DISTRIBUTION INC., Participating sponsors and program contractors to:  
    • verify income or benefits received by my household for purposes of confirming eligibility
    • conduct an energy audit of my home at no cost to me
    • provide advice and perform energy efficiency upgrades to my home at no cost to me
    • use photocopies of this signed release for these purposes
    • contact me or my case worker
    • obtain natural gas consumption records from Enbridge Gas Distribution for up to 3 years before and after the work is done for program verification and evaluation purposes
    • randomly choose me to participate in a Quality Assurance/Quality Control assessment
    • share customer information that pertains to related programs to further assist me with energy efficiency
 
 
Delivery Agents will obtain signature
SUBMIT

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