COLORADO ENERGY OFFICE WEATHERIZATION APPLICATION INSTRUCTIONS

  1. THE WEATHERIZATION APPLICANT NEEDS TO FILL OUT THE APPROPRIATE PAGES & SIGN ON PAGES 3 & 4. IF YOU OWN THE HOME PLEASE ALSO 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 WHICH PERTAINS TO RENTAL PROPERTIES.
  1. COPY OF COLORADO DRIVER’S LICENSE, COLORADO STATE I.D., MILITARY I.D. OR PASSPORT OF APPLICANT. WE CANNOT ACCEPT OUT OF STATE DRIVER’S LICENSE.
  1. ERC MUST HAVE A PHONE NUMBER, CELL NUMBER OR E-MAIL ADDRESS TO CONTACT YOU BY FOR SCHEDULING PURPOSES.
  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 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 / XCEL 1-800-895-4999

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TO AUTOMATICALLY QUALIFY: PROVIDE PROOF THAT YOU RECEIVE

ASSISTANCE FROM ONEOF THE FOLLOWING PROGRAMS:

LEAP / SNAP / TANF / AND / OAP / SSI(Supplemental Security Income)

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

PRINT OUT FROM SOCIAL SERVICES. COPY OF YOUR ID IS NOW REQUIRED

You will not need to send any income proof if you provide ERC with proof of eligibility from one of the above programs

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TO QUALIFY BY INCOME YOU MUST SEND IN:

MOST RECENT PAY STUBS FOR EACH EMPLOYED PERSON IN THE HOUSEHOLD

FOR THE PAST 3 MONTHS PRIOR TO SUBMITTING YOUR APPLICATION.

CURRENT INCOME PROOF RECEIVED FROM: MOST RECENTSOCIAL SECURITY AWARD LETTER, RETIREMENT PENSION PROOF, ANNUITY, VA BENEFITS, DISABILITY PROOF FOR , ALIMONY, WORKER’S COMP, RENTAL PROPERTY or UNEMPLOYMENT PROOF.

SELF-EMPLOYED—COPIES OF BUSINESS LEDGERS FOR THE PAST 3 MONTHS. RECEIPTS OF SERVICES FOR PAST 3 MONTHS. (Request anincome affidavit form that needs notarized )

COPY OF COLORADO DRIVER’S LICENSE, COLORADO I.D, MILITARY ID OR PASSPORT

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Energy Resource Center office hours are Monday through Friday 7:30 am-4:00 pm. Return your CEO application as soon as possible so that you can be placed on the waiting list. ERC services El Paso, Teller, Fremont, Elbert & DouglasCounties. Our current waiting list varies depending upon our current Countyapplicant list and funding available.

Please mail completed application to:

Energy Resource Center

114 W. Rio Grande Street / Colorado Springs, CO 80903

(719) 591-0772 fax (719) 591-0885

e:mail: