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House holds with high energy burdens?
Yes No Other? High Energy Use
Yes No If you selected "Yes" for any of the options in questions 5.6, 5.7, or 5.8, you must provide further explanation of these policies in the text field below.
Property Owners (landlords) must sign an agreement to not increase the rent costs for at least 12 months. Owners are encourged to contribute financially to overall weatherization projects. The Hancock Energy Software automatically assigns a WAP ranking based on criteria set in policy. Eligible households are awarded points for children age 17 and under, elderly age 60 and older, disability, high energy burden (25% of household total income used for energy cost), and number of months on the waiting list.
Benefit Levels 5.9 Do you have a maximum LIHEAP weatherization benefit/expenditure per household? Yes No 5.9a If yes, what is the maximum? $0 5.10 Do you use an Average Cost per Unit (ACPU). Yes No 5.10a If so, what is the ACPU amount? $8,547
Types of Assistance, 2605(c)(1), (B) & (D) 5.11 What LIHEAP weatherization measures do you provide ? (Check all categories that apply.)
Weatherization needs assessments/audits
Energy related roof repair
Caulking and insulation
Major appliance repairs
Storm windows
Major appliance replacement
Furnace/heating system modifications/repairs
Windows/sliding glass doors
Furnace replacement
Doors
Cooling system modifications/repairs
Water Heater
Water conservation measures
Cooling system replacement
Roof top solar
Community solar projects
Compact florescent light bulbs
Other - Describe: Minor repairs/Weatherization readiness (i.e., electrical problems, leaks, patching, thresholds, weatherstripping, switch/outlet gaskets, replace broken window panes, repair windows and doors, etc.)
If any of the above questions require further explanation or clarification that could not be made in the fields provided, attach a document with said explanation here.
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