Home Energy Solutions℠ Landlord Authorization Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. Fuel Primary You Home Energy Solutions℠ Landlord Authorization Form ENERGIZE CONNECTICUT℠ How Home Energy Solutions Works: In one easy visit, utility-approved technicians will evaluate your home’s energy performance and install basic weatherization and energy-saving measures. Services can include: Health and safety evaluation Sealing air leaks and ductwork Installing hot water pipe wrap, faucet aerators and low-flow showerheads The average home in Connecticut receives about $1,000 in services and realizes $180–$200 in savings on their annual energy bills. Additionally, the technicians will provide written recommendations for deeper energy-saving measures such as advanced duct sealing, insulation, high-efficiency heating and cooling, water heating, windows, and appliances. To help you in making smart energy choices, recommendations will include information on rebates and financing along with payback and investment information specific to your home. Building Information Address *Address Line 1Address Line 2CityStateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePrimary Heating Fuel *Tenant/Resident’s Name * Add Remove Are You The Property Owner? *YesNoI am the property owner and persuant to Connecticut state law Title 47a-Landlord and Tentant, Chapter 830 - Rights and Rsponsibilities of Landlord and Tenant, I give authorization to Eversource, the United illuminating Company, the Southern Connecticut Gas Company, and Connecticut Natural Gas Corporation, their employee(s), subcontractor(s) or agent(s) (“Authorized Parties”) to enter the premises for a Home Energy Assessment and perform weatherization services and provide verification services to confirm proper installation of any applicable measure. Persuant to the Statute, I will advise the tenant of said property the date and time that the Authorized Parties will enter the premises for a Home Energy Assessment and any following weatherization services.Signature * Clear Signature Date *Property Owner (Landlord) Name: *Address *Address Line 1CityStateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeEmail *Phone *Submit
