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Chapter 1
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Affidavit of No Income for Applicant
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Chapter 1
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Affidavit of No Income for Member of Household
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Chapter 1
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Certification of No Income Tax Filing For Applicant
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Chapter 1
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Certification of No Income Tax Filing for Member of Household
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Chapter 1
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Certification of No Social Security Numbers
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Chapter 1
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Emergency Services Acknowledgement Form
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Chapter 1
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Net Rental Income Calculation Form
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Chapter 1
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Income Verification Form
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Chapter 1
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Proof of No Tax Lien Self-Certification Form
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Chapter 2
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Affidavit for Vacant Units Multi Family Only (5 units or more) |
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Chapter 2
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Application for Shelters, Group Homes, and Transitional Facilities |
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Chapter 2
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Landlord Contribution Agreement Single Family Dwellings (1-4 units) |
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Chapter 2
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Landlord/Tenant Weatherization Agreement Form Multi-Family Only (5 units or more) |
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Chapter 2
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Multi-Family Building Improvement Program Escrow Agreement (Agency Crew) |
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Chapter 2
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Multi-Family Building Improvement Program Escrow Agreement (Contractor) |
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Chapter 2
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Multi-Family Certification Form DOE |
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Chapter 2
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Multi-Family Occupancy Report |
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Chapter 2
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Owner's Permission to Weatherize |
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Chapter 2
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WPN 17-4 HUD Multi-Family Final |
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Chapter 3
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ASHRAE 26.2-2016 Residential Ventilation Standard (Provided by Heyoka) |
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Chapter 3
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Residential Energy Dynamics (Red) Calculation Sheet |
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Chapter 3
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Checklist for Performing RRP on Dwelling Built Before 1978 |
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Chapter 3
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Determination of Lead Safe Weatherization (LSW) on Dwelling Built before 1978 |
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Chapter 3
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Lead, Mold, Radon and Asbestos Assessment Determination
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Chapter 3
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Lead Safety Test Kit Documentation Form
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Chapter 3
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Radon Testing Waiver |
| Chapter 3 |
Radon Informed Consent Form
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| Chapter 3 |
Health and Safety Deferral Notification
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| Chapter 3 |
Occupant Pre-Existing/Potential Health Condition Screening Form
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| Chapter 3 |
Hazard Identification Notification Form
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| Chapter 3 |
Health and Safety Assessment Form
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Chapter 4
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MHEA Data Collection Form |
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Chapter 4
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NEAT Data Collection Form |
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Chapter 4
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Educational Material Notification/Health and Safety Assessment |
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Chapter 4
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Single Family Site-Built Priority List Checklist |
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Chapter 4
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Low-Rise Multifamily Priority List Checklist |
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Chapter 4
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Manufactured Home Priority List Checklist
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Chapter 5
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Affirmative Action Affidavit
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Chapter 5
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Bid Package Review Checklist
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Chapter 5
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Contractor Registration Application
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Chapter 5
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Justification for Selection of Contractor
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Chapter 5
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Non-Collusion Affidavit of Prime Bidder
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Chapter 5
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Responsible Contractor Certification
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Chapter 5
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Sample Contract for Weatherization Services
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| Chapter 5 |
Electrical Improvement Dealer Service Contractor Assurances Form |
| Chapter 5 |
State Monitor's Checklist for Sole Bidder
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Chapter 6
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Appliance/Heating Systems Evaluation |
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Chapter 6
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Heating System Improvement Program Checklist |
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Chapter 6
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Heating System Improvement Dealer/Service Contractor Assurances |
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Chapter 6
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Heating Systems & Hot Water Heater Post Installation Reports |
| Chapter 6 |
Combustion Safety & Heating Improvement Survey |
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Chapter 7
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Appendix A
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Chapter 7
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Certification of Insulation
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Chapter 7
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Certification Regarding Debarment |
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Chapter 7
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Certification Regarding Drug-Free Workplace Requirements |
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Chapter 7
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Certification Regarding Lobbying |
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Chapter 7
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HESWAP Training Request Form |
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Chapter 7
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HIP Program Support Request and Calculation Form |
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Chapter 7
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Reweatherization Approval Form |
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Chapter 7
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Refrigerator Replacement Form |
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Chapter 7
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Equipment Purchases Over $5,000 |
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Chapter 7
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Vehicle Purchases/Lease Approval Form |
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Chapter 7
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Quality Control Inspection Form |
| Chapter 7 |
Program Support Deferral Request Form |
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Chapter 7
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Appliance Replacement Form Terms Agreement |
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Chapter 7
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Approval Form to Exceed Maximum Allowable Cost Per Unit |
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Chapter 7
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File Content and Compliance Check List |
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Chapter 8
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Sample Audit Review/Finding Report Form |
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Chapter 8
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Sample Final Inspection Form |
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Chapter 8
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Sample HESWAP Quality Control Form |
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Chapter 8
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Sample Weekly Monitoring Report |
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Chapter 8
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Quality Control Assurance Form |
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| Chapter 9 |
Comfort Partners/Weatherization Assistance Program Partnership |
| Chapter 9 |
Comfort Partners - WAP Partnership Process |
| Chapter 9 |
Comfort Partners / WAP Partnership Request Form |
| Chapter 9 |
Comfort Partners / WAP Partnership Joint Scope Of Work Agreement Form |
| Chapter 9 |
Comfort Partners / WAP partnership Job Completion Form |
| Chapter 9 |
Comfort Partners / WAP partnership Job Closure Form |
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