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Chapter 1
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Affidavit of No Income for Applicant [pdf 46kB]
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Chapter 1
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Affidavit of No Income for Member of Household [pdf 46kB]
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Chapter 1
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Certification of No Income Tax Filing For Applicant [pdf 46kB]
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Chapter 1
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Certification of No Income Tax Filing for Member of Household [pdf 46kB]
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Chapter 1
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Certification of No Social Security Numbers [pdf 46kB]
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Chapter 1
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Emergency Services Acknowledgement Form [pdf 85kB]
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Chapter 1
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Net Rental Income Calculation - Adobe Form [pdf 85kB]
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Chapter 1
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Income Verification Form.pdf
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Chapter 2
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Affidavit for Vacant Units Multi Family Only (5 units or more) [pdf 64kB] |
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Chapter 2
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Application for Shelters, Group Homes, and Transitional Facilities [pdf 89kB] |
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Chapter 2
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Landlord Contribution Agreement Single Family Dwellings (1-4 units) [pdf 69kB] |
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Chapter 2
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Landlord/Tenant Weatherization Agreement Form Multi-Family Only (5 units or more) [pdf 194kB] |
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Chapter 2
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Multi-Family Building Improvement Program Escrow Agreement (Agency Crew) [pdf 72kB] |
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Chapter 2
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Multi-Family Building Improvement Program Escrow Agreement (Contractor) [pdf 72kB] |
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Chapter 2
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Multi-Family Certification Form DOE [pdf 348kB] |
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Chapter 2
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Multi-Family Occupancy Report [excel file 13kB] |
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Chapter 2
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Owner's Permission to Weatherize [pdf 265kB] |
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Chapter 2
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WPN 17-4 HUD Multi-Family Final [pdf 188kB] |
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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 [pdf 71kB] |
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Chapter 3
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Determination of Lead Safe Weatherization (LSW) on Dwelling Built before 1978 [pdf 204kB] |
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Chapter 3
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Lead, Mold, Radon and Asbestos Assessment Determination [pdf 73kB]
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Chapter 3
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Lead Safety Test Kit Documentation Form [pdf 313kB]
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Chapter 3
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Radon Testing Waiver [pdf 64kB] |
| Chapter 3 |
Radon Informed Consent Form [pdf 22kB]
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| Chapter 3 |
Health and Safety Defferal Notification [pdf 132 kB]
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| Chapter 3 |
Occupant Pre-Existing/Potential Health Condition Screening form[pdf 86kB]
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| Chapter 3 |
Hazard Identification Notification Form [pdf 124kB]
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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 [pdf 317kB]
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Chapter 5
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Bid Package Review Checklist [pdf 276kB]
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Chapter 5
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Contractor Registration Application [pdf 290B]
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Chapter 5
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Justification for Selection of Contractor [pdf 205kB]
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Chapter 5
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Non-Collusion Affidavit of Prime Bidder [pdf 203kB]
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Chapter 5
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Responsible Contractor Certification [pdf 305kB]
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Chapter 5
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Sample Contract for Weatherization Services [pdf 282kB]
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| Chapter 5 |
Electrical Improvement Dealer Service Contractor Assurances Form [pdf267 kB] |
| Chapter 5 |
State Monitor's Checklist for Sole Bidder [pdf 233]
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Chapter 6
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Appliance/Heating Systems Evaluation [pdf 282kB] |
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Chapter 6
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Heating System Improvement Program Checklist [pdf 1262kB] |
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Chapter 6
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Heating System Improvement Dealer/Service Contractor Assurances [pdf 262kB] |
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Chapter 6
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Heating Systems & Hot Water Heater Post Installation Reports [pdf 188kB] |
| 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 [pdf 51kB]
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Chapter 7
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Certification Regarding Debarment [pdf 10kB] |
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Chapter 7
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Certification Regarding Drug-Free Workplace Requirements [pdf 119kB] |
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Chapter 7
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Certification Regarding Lobbying [pdf 194kB] |
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Chapter 7
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Heswap Training Request Form [pdf 240kB] |
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Chapter 7
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HIP Program Support Request and Calculation Form [Excel 13kB] |
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Chapter 7
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Reweatherization Approval Form [pdf 254kb] |
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Chapter 7
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Refrigerator Replacement Form [pdf 276kB] |
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Chapter 7
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Equipment purchases over $5,000.00 [pdf 206kB] |
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Chapter 7
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Vehicle Purchases/Lease Approval Form [pdf 285kB] |
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Chapter 7
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Quality Control Inspection Form [pdf 334kB] |
| Chapter 7 |
Program Support Deferral Request Form [pdf 298] |
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Chapter 7
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Appliance Replacement Form Terms Agreement [pdf 68kB] |
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Chapter 7
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Approval Form to Exceed Maximum Allowable Cost Per Unit [pdf 259kB] |
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Chapter 7
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File Content and Compliance Check List [pdf 115kB] |
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Chapter 8
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Sample Audit Review/Finding Report Form [pdf 244kB] |
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Chapter 8
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Sample final Inspection Form [pdf 25kB] |
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Chapter 8
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Sample HESWAP Quality Control Form [pdf 22kB] |
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Chapter 8
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Sample Weekly Monitoring Report [pdf 24kb] |
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Chapter 8
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Quality Control Assurance Form [pdf 331kB] |
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| Chapter 9 |
Comfort Partners/Weatherization Assistance Program Partnership [pdf 486kB] |
| Chapter 9 |
Comfort Partners - WAP Partnership Process [pdf 596kB] |
| Chapter 9 |
Comfort Partners / WAP Partnership Requeset Form[pdf 296kB] |
| Chapter 9 |
Comfort partners / WAP Partnership Joint Scope Of Work Agreement Form [pdf 296kB] |
| Chapter 9 |
Comfort partners / WAP partnership Job Completion Form [pdf 293kB] |
| Chapter 9 |
Comfort partners / WAP partnership Job Closure Form[pdf 291kB] |
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