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Forms
Forms Title
Form
Date
WX1 Quality Control Form
21-032
02/26/2021
WX10 - Daily Safety Test Out
21-041
08/01/2024
WX12 - Checklist for Determination of Approval
21-043
08/01/2024
WX13 - Weatherization Client Questionnaire
21-044
08/01/2024
WX14 - Landlord-Tenant Agreement/Permission Form
21-045
08/01/2024
WX15 - United States Citizenship Attestation Form
21-046
08/01/2024
WX16 - Zero Income Verification
21-047
08/01/2024
WX17 - Mechanical System Inspection/Clean & Tune
21-048
03/03/2021
WX18 - Mechanical System Repair/Replacement Bid
21-049
03/03/2021
WX19 - Frame Home Energy Audit Data Collection
21-050
03/03/2021
WX20 - Mobile Home Energy Audit Data Collection
21-051
03/03/2021
WX21 - Completion Service Statement
21-052
08/01/2024
WX22 - Utility Consumption Information Release
21-053
08/01/2024
WX23 - Refrigerator Appliance Agreement
21-054
08/01/2024
WX24 - LIHEAP Heating and Cooling Repair or Replacement Program
21-055
08/01/2024
WX25 - LIHEAP Heating and Cooling Repair or Replacement Bid Form
21-056
08/01/2024
WX26 - LIHEAP Heating and Cooling Repair or Replacement Quality Control Inspection Form
21-057
08/01/2024
WX27 - Equipment Purchase Request
21-058
08/01/2024
WX28 - Request to Remove Items from NeWAP Equipment Inventory
21-059
08/01/2024
WX29 - Request to Remove Items from Weatherization Vehicle Inventory
21-060
08/01/2024
WX3 - Lead Hazard Pre-Renovation Form
21-034
08/01/2024
WX30 - Priority Conditions for Cooling Assistance
21-061
08/01/2024
WX5 - Mold Assessment and Release Form
21-036
08/01/2024
WX6 - Radon Informed Consent/Consent To Perform Work
21-037
08/01/2024
WX7 - Home Health and Safety Screening Questionnaire
21-038
08/01/2024
WX9 - CAZ Depressurization Test
21-040
08/01/2024
