Weatherization Application

Ready to get started with our weatherization program? We can help you increase energy savings, by reducing wintertime heating costs, and making your home more comfortable. Fill out this application to get started.

Email
This field is for validation purposes and should be left unchanged.
Applicant Name*
First Last
Physical Address*
Street Address Address Line 2 City State ZIP Code
Different Mailing Address?
- Yes
- No
Mailing Address (if different)
Street Address Address Line 2 City State ZIP Code
Phone*
Email*
Applicant & House Information
How is your home heated?*
- Electric
- Natural Gas
- Oil/Propane
- Wood/Pellet
Does your heating system work?*
- Yes
- No
If No, please explain the situation
Utility Company(s)*
- Central Lincoln PUD
- Consumers Power Inc
- NW Natural
- Pacific Power
Landlord's Phone Number
Your position on the waitlist is based on the date we receive your application and available funding. When you are near the top of the list we will contact you to request additional information, income verification, and owner approval. Please call 541-738-0958 if your phone number changes, you move, or if you no longer wish to participate in the program. I give permission for CSC Weatherization to share my information with other CSC programs when appropriate, for the purpose of offering additional assistance.
Signature*
Print Name*
Date*

Weatherization Application

This application is currently not optimized for mobile devices.

If you’re visiting this page from a mobile device, you will not be able to access the digital application. If you are unable to access a computer, you may request a paper application by contacting our team. We will be happy to mail one to you.

Questions or need assistance? Call 541-738-0958 or email weatherization@communityservices.us.

Weatherization Application

Applicant & House Information

Who We Are

Get Help

Connect

Community Services Consortium © All rights reserved

Powered by Clark Five Design