Community Action Center

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Weatherization Assistance Program

The Weatherization Program provides Energy conservation improvements. A CAC energy auditor performs a complete energy inspection to determine major sources of energy loss in a home and identifies potential cost-effective improvements.

Weatherization Application

Potential Improvements
Attic insulation and venting
Crawl space insulation and venting
Sidewall insulation
Furnace repair or replacement
Heating duct insulation
Water heater and water pipe insulation
Weather stripping/caulking
Other draft reduction measures

Eligibility Requirements

Single-family, mobile homes, and multi-family units can be weatherized if the occupants meet income level requirements
In a multi-family unit, at least 51% of the occupants must meet the income level requirements
Property owner or agent must sign the application

Weatherization Program Income Guidelines

Monthly Income

per household size

1

2

3

4

5

6

7

8

Non-wage

$1,083

$1,458

$1,833

$2,208

$2,583

$2,958

$3,333

$3,708

Wage earner

$ 1,354

$1,823

$2,292

$2,760

$3,229

$3,698

$4,167

$4,4635

 

 

 

 

 

 

 

 

 

Yearly Income

per household size

1

2

3

4

5

6

7

8

Non-wage

$13,000

$17,500

$22,000

$26,500

$31,000

$35,500

$40,000

$44,500

Wage earner

$16,250

$21,875

$27,500

$33,125

$38,750

$44,375

$50,000

$55,625

 

 

 

 

 

 

Prior to weatherization the property owner must enter into an agreement with Community Action Center. There are two types of agreements: one is for an owner occupied unit and the other is for rental property owners.

Owner Occupied Agreement
Eligible, cost effective weatherization measures will be installed with no cost to the homeowner.

Agreement Provision
If you sell your property within 3 years from the date weatherization is completed, you must pay back the cost of weatherization on a pro-rated basis.

Renter Occupied Agreement
The landlord must be willing to pay 25% of the cost of the energy conservation improvements.

Agreement Provisions

Tenant rent cannot increase for one year following completion of the weatherization work


After one year rent can only increase for the following reasons:          

  • To recover the costs related to an increase in property taxes

  • To recover actual costs of improvements made, other than weatherization, that directly benefit the tenant

  • To recover an increase in operation and maintenance

  • For a period of three years after weatherization is completed your renter shall not be evicted, except for:
         Failure to pay rent
         Damaging property
         Creating a nuisance
         Violating any provision of the lease

If the property is sold within three years from the date weatherization is completed the new owner must:

  • Accept full responsibility and obligation for the agreement signed; or
  • The cost of the weatherization is paid back on a pro-rated basis

 

Avista Exchanger Program
Avista Utilities contracts with CAC in a program that allows conversion of electric heating systems, including hot water tanks and furnaces to gas systems.  Qualification is based on the same income guidelines as the weatherization program and is limited to availability of gas service.

 

 

Weatherization Application

 

For a pdf version of the Energy Audit Application Click Here  You must have Acrobat Reader to open. to download a free version click here.

T

Page 3 of 3

Name

Last, First Middle Initial

Social Security Number

*Sex

Relationship

See below

lBirthdate

Age

*Ethnicity

See below

Handicapped

Yes or No

Work

Yes or No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 * = Information is voluntary              l = Required only for adults 18 and over

 Ethnicity = Asian – Hispanic – Black – Native American – White – SE Asian – Multiracial – Other

Relationship = Husband – Wife – Child – Partner – Roommate – Other – Self

Mailing address:_____________________________________________________________________                                             __

Income/Benefits:  Entire in the amount received per MONTH for all sources of income, including income from rental property.

Employment  $___________  SSI  $_____________                 SSA $______________               TANF  $_____________       

Unemployment $_________              GAU  $____________                 VA $ ______________                Pension $ ___________

Other  $ ________________

source(s):________________________________________________________________________________                  

 If you have no income, explain how your living costs are paid:                                                                                     

                                                                                                                                                                            

                                                                                                      

 

 

I certify that I have provided the information and it is accurate to the best of my knowledge.  I understand that I may be subject to criminal prosecution if I have knowingly provide false information.  I also give my permission for the Community Action Center to request/release information that may result in my receiving or being denied benefits from this assistance request, current/future data analysis, and eligibility determination.  I understand and authorize the Community Action Center staff to use my social security number for income verification and to verify the eligibility of my household for assistance.

 

Date:_____________________ Primary Applicant Signature:________________________________