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Home Energy Savings Application

The Chicago Bungalow Association in partnership with ComEd, Nicor Gas, Peoples Gas and North Shore Gas, provide customers with free home energy services and improvements.
 
The program offers a free home energy assessment for your home and may include free weatherization services and installation of energy-saving products to help increase comfort, lower utility bills, and improve the value of your home.

 

Eligibility Criteria:

  • Single-family home or two-flat

  • Built at least 30 years ago

  • Owner occupied

  • Located in Cook County (City of Chicago and surrounding suburbs)

  • Not a previous Energy Savers Program participant

  • Household income of 80% Area Median Income (AMI) or lower is required. See income chart below:

Basic Information

How did you hear about us?
Race
Other

Building Information

Are you applying for a Single-Family Home or Two-Flat Building?
Are you the building owner?
Do you occupy the address listed above?
Are you the building owner or tenant?
Do you occupy one of the units?
Who is the utility account holder?

Occupant information

Is it difficult for you to keep your home at a comfortable temperature?
Is your home too cold in the winter or too warm in the summer?
Do you experience drafts—or hot and cold spots—in your home?
Do you have to use other ways of staying warm in the winter or cool in the summer besides turning up your thermostat (ex: space heater)/turning down your air conditioner?

Utility Information

I authorize the Electric and Local Gas Utility to release electric and/or gas consumption records for the past, present, and future years of the building owner listed on this form, for the purpose of tracking fuel use in my building. These records will be used solely for the purpose of measuring performance outcomes from any Home Energy Savings funded retrofitting and will remain confidential.

Building Owner Certification/Signature

I certify that I currently own and occupy the above-mentioned property as my principal residence. I understand and agree that such occupancy is a condition of eligibility for the Home Energy Savings offering. I certify that I have read and understand this requirement.


As of the time of making this application, any inaccuracy in the status of the subject property as my principal residence, shall be grounds for rescission and recapture of any retrofit work made to the undersigned by the Chicago Bungalow Association. I agree that in such instance, my proceeds shall be immediately due and payable in full to the Chicago Bungalow Association.

 

I agree to pay any charges or other costs that the Chicago Bungalow Association may incur as a result of collection actions, including, but not limited to, attorney’s fees.


I will be informed of services to be provided in writing, in the form of a contractor’s work order, before agreeing to have the work done.
Significant structural issues or extreme barriers to access may impede the weatherization repair/retrofit process.

 

The Chicago Bungalow Association reserves the right to consider these situations on a case-by-case basis. This application does not constitute a contract. I acknowledge that the Chicago Bungalow Association reserves the right to reject the application for any reason.

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