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Qualifications & Application PDF Print E-mail

Homeowners and renters may be eligible for our NO-COST weatherization & furnace services if your home has not been previously weatherized and if you meet the income guidelines.  If you receive any assistance from the following agencies, you are automatically qualified: LEAP, TANF/AFDC, AND, SSI, or COAP.  If you are not presently receiving any public assistance, you may qualify by household annual gross income.  You would need to fill out an application and provide us with your most recent three months of income.  Please note:  As of July 1, MEDICAID is no longer an automatic qualifier.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

What if I don't qualify based on the income guide above?  Don't worry, another program we assist with is the Housing Efficiency Assistance Program (HEAP).  Even if your income level is higher than the guide above, you may qualify for the HEAP assistance program (please see below).

 

INSTRUCTIONS TO FILL OUT APPLICATION:

THE WEATHERIZATION APPLICANT NEEDS TO FILL OUT THE APPROPRIATE PAGES & SIGN ON PAGES 3 & 4.  IF YOU OWN THE HOME PLEASE ALSO COMPLETE & SIGN THE PERMISSION FORM ON PAGE 6. 

  1. IF YOU RENT, THE LANDLORD OR PROPERTY MANAGER NEEDS TO COMPLETE & SIGN THE PERMISSION FORM ON PAGE 5.  ERC CANNOT WEATHERIZE THE HOME WITHOUT THIS PAGE BEING SIGNED BY THE LANDLORD!
 
  1. ERC MUST HAVE A PHONE NUMBER OR MESSAGE NUMBER TO CONTACT YOU BY.
 
  1. A RECENT COPY OF YOUR UTILITY BILL OR PROPANE BILL IS NEEDED FOR YOUR FILE.
 
  1. IF NATURAL GAS or PROPANE IS YOUR PRIMARY FUEL ERC NEEDS A PRINTOUT OF YOUR PAST 12 MONTHS GAS CONSUMPTION INFO  FOR YOUR FILE.  CONTACT YOUR PROVIDER & AUTHORIZE THEM TO FAX ERC YOUR INFO. We mainly  calculate the heating months from November  through April to see how much you have spent.      ERC fax #  (719) 591-0885
           (Colorado Springs Utilities #448-4800 / Black Hills 1-888-890-5554 / Atmos 1-888-442-1313 )      ***************************************************************************************************************      TO AUTOMATICALLY QUALIFY:  PROVIDE ERC WITH PROOF THAT YOU      RECEIVE ASSISTANCE FROM ONE OF THE FOLLOWING PROGRAMS: 

LEAP / TANF / AND / OAP / SSI / MEDICAID

      SEND A RECENT COPY OF YOUR LEAP ELIGIBILITY AWARD LETTER OR AN ELIGIBILITY 

      PRINT OUT FROM SOCIAL SERVICES.  You need to get an eligibility span letter from Social Services         For Medicaid proof –we can no longer accept a copy of your Medicaid card.            You will not need to send any income proof if you provide ERC with proof of eligibility from          One of the above listed programs.       

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    TO QUALIFY BY INCOME YOU MUST SEND IN:¨      MOST RECENT PAY STUBS FOR EACH EMPLOYED PERSON IN THE HOUSEHOLDFOR THE PAST 3 MONTHS PRIOR TO SUBMITTING YOUR APPLICATION.   ¨      CURRENT INCOME PROOF RECEIVED FROM: SOCIAL SECURITY AWARD LETTER, RETIREMENT PENSION, ANNUITY, VA BENEFITS, DISABILITY, ALIMONY, WORKER’S COMP, RENTAL PROPERTY or UNEMPLOYMENT PROOF.  ¨      PAST 3 MONTHS OF BANK STATEMENTS  --(please white-out your account numbers)¨      SELF-EMPLOYED— COPIES OF BUSINESS LEDGERS FOR THE PAST 3 MONTHS.  RECEIPTS OF SERVICES FOR PAST 3 MONTHS.  ERC will go by your net income.¨      COPY OF COLORADO DRIVERS’S LICENSE, COLORADO STATE I.D., MILITARY I.D. OR TRIBAL DOCUMENT OF THE PERSON THAT IS APPLYING FOR THE WEATHERIZATION*************************************************************************************************************                                  INCOMPLETE APPLICATIONS WILL BE PLACED “ON HOLD” Energy Resource Center5920 Paonia Court / Colorado Springs, CO  80915(719) 591-0772  /  ERC fax # (719) 591-0885www.erc-co.org

 

 

Or if you just qualify for HEAP, click here to download the HEAP application:

 

 

 

 

 

 

You must be a United States Citizen to receive our services, click here for the Citizen Form.