top of page

FINANCIAL SUPPORT

Energy Navigator

Request for Financial Assistance

This form will be used to determine eligibility for financial assistance with home weatherization or electrification. Program funds can only be used to assist with heat pump installations, insulation, and air sealing. Additionally, only homeowners deemed low-income or moderate-income are eligible for financial assistance. The Energy Navigator may ask for documentation to verify the information submitted in this form. 


Please complete the entire form, as additional questions appear based on your answers.

Client Information

Multi-line address

Income Eligibility

Please select any of the following programs a member of your household participates in:

Property Information

Is the property your primary residence?
Yes
No
Do you own the property? Or is the tax bill in your name?
Yes
No
What type of home is the property?
Single Family
Town House/Condo
Mobile Home
Have any Efficiency Maine rebates previously been issued for this property?
Yes
No
What type of heating system do you currently have?
What upgrade are you interested in? (Select all that apply)
Do you have any concerns about your home's indoor air quality?
Yes
No
Would you like to learn more about improving your home's indoor air quality as a part of your energy upgrade plan?
Yes
No
bottom of page