Homeowner Application for HPwES Audit

Home Performance with ENERGY STAR offers benefits and incentives to help make energy efficiency improvements affordable for New York State homeowners. If you own a single-family home or a two- to four-unit multifamily building, you are eligible to participate.

Upgrading the energy efficiency of your home is an opportunity to make a real difference. You can save money, enjoy year-round comfort and have a positive impact—on your community and your world.

Start by applying for a free or reduced-cost comprehensive home energy assessment.

Most New Yorkers can have a comprehensive home energy assessment for free or at a reduced cost. To qualify, you need to meet these four requirements:

  1. You must own a 1-to-4 unit residential building.
  2. Your total household income must meet the guidelines described in this chart (requires free Adobe Reader).
  3. You must not have previously received a free or reduced-cost comprehensive home energy assessment on the building listed below.
  4. You must provide a 12-24 month summary of the energy usage for your building. If you do not have access to a full year of data, you can provide the data you have, along with proof of the date of purchase for your home, unit, or building.

Approved applicants will receive a reservation number and information about terms and conditions. Once approved, you will have 90 days to have your comprehensive home assessment completed by a participating Home Performance with ENERGY STAR contractor. Free or reduced-cost comprehensive home energy assessments are available on a first-come, first-served basis while funding lasts.

If you have previously submitted an application please call (855) 838-7818 to inquire about your status or to request an extension. Please do not reapply.

If you have any questions while filling out this application please call (855) 838-7818.

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Contact Information

This is your primary mailing address. It can be different from your home, or the building you want to have evaluated under this program.

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An email address is required in order to log in and track your progress online.
You may leave this blank if you do not have an email address.

Thanks! Now tell us about your project.

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Project Location

This can be different from your mailing or primary residence addresses (if this is a second or vacation home, or you receive mail at a PO box, for example).

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Almost done!

Just a few more questions. We need these details to determine your eligibility for a free or reduced cost assessment.

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Building

Payment And Financing

If you decide to move forward with any of the recommendations made from the energy audit, this payment method will be used for most or all of the costs of your energy upgrades.

View the Incentives and Financing webpage for more information on NYSERDA's On-Bill Recovery Loan and Smart Energy Loan financing options.

You can determine your Area Median Income (AMI) using the income guidelines chart (requires free Adobe Reader).

Households with total income over 400% AMI do not qualify for a free or reduced-cost assessment but can still participate in NYSERDA's Home Performance with ENERGY STAR Program. Please contact a participating contractor for more information.

HEAP eligible homeowners may receive free services through EmPower NY.

Energy Usage Data

For the last 12 or more months (as a PDF or an image). File size is limited to 10 MB.

Heating Fuel

Enter the fuel type.

For the last 12 or more months (as a PDF or an image). Please enter usage data for all applicant unit(s) in the building. If the units are roughly the same size and conditions you do not need to upload usage for multiple units. File size is limited to 10 MB.

If you do not have a full year of data because you purchased your home within the last 12 months, your fuel is provided by various suppliers, and/or you do not have access to usage data, please complete and submit the Energy Usage History Waiver Form (requires free Adobe Reader). Waiver forms without a signature will not be accepted. Please be sure to print out and sign the form before uploading it in the section below. File size is limited to 10 MB.

Secondary Heating Fuel

Enter the fuel type.

Additional Details

Should We Notify A Home Performance Contractor?

NYSERDA can send a copy of your comprehensive home energy assessment Reservation Number to a Home Performance Contractor of your choice. NYSERDA does not assign contractors. See a list of Home Performance Contractors in your area.

I certify that I am the owner of the building listed above and the income of all the persons in my household is not more than the amount shown and that the other information I have given on this form is correct to the best of my knowledge and belief. I understand that my signature on this form gives permission for NYSERDA, or its designee, to verify my eligibility for a free/reduced cost NY Home Performance with ENERGY STAR home energy assessment. I understand that if I give false information or withhold information in order to make myself eligible for benefits that I am not entitled to, I can be prosecuted to the fullest extent of the law.

A House