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Home Energy Plus Program Information
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Cross Program Shared Information

Wisconsin Rental Assistance Program (WRAP)
Vendor/Landlord Agreement (5/27/2020)
Income Attestation Form (5/27/2020)
Income Attestation Form (Hmong) (6/15/2020)
Income Attestation Form (Spanish) (6/15/2020)

Zero Income Form (ZIF) (5/27/2020)
Zero Income Form (ZIF) (Hmong) (6/15/2020)
Zero Income Form (ZIF) (Spanish) (6/15/2020)
Renter Verification (6/3/2020)
Renter Verification (Hmong) (6/15/2020)
Renter Verification (Spanish) (6/15/2020)
WRAP County Median Income - Monthly  (06/18/20)
WRAP County Median Income - Annual (06/18/20)

Application Forms
 
FFY2021 Home Energy Plus Short Form Application - Can be found on the T&TA website
FFY 2021 Home Energy Plus Long Form Application (8/31/2020)
FFY 2021 Home Energy Plus Long Form Application (Spanish) (8/31/2020)
FFY 2021 Home Energy Plus Long Form Application (Hmong) (8/31/2020)
FFY 2021 Home Energy Plus Certification Page (8/31/2020)
FFY 2021 Home Energy Plus Certification Page (Spanish) (8/31/2020)
FFY 2021 Home Energy Plus Certification Page (Hmong) (8/31/2020)


Brochures & Checklists

FFY 2021 Home Energy Plus Brochure (8/31/2020)
FFY 2021 Home Energy Plus Applicant Checklist (8/31/2020)
FFY 2021 Home Energy Plus Brochure (Spanish) (8/31/2020)
FFY 2021 Home Energy Plus Applicant Checklist (Spanish) (8/31/2020)
FFY 2021 Home Energy Plus Brochure (Hmong) (8/31/2020)
FFY 2021 Home Energy Plus Applicant Checklist (Hmong) (8/31/2020)


Outreach Posters
Contact the Help Desk at heat@wisconsin.gov

Home Energy Plus Program Agreements/Forms 
Home Energy Plus Conflict of Interest/Non-Disclosure Agreement Form (1/03/2020)

Low Income Energy Advisory Committee
LIEAC Members
LIEAC Purpose and Description

Annual Reports

Home Energy Plus Public Benefits Annual Report SFY2018 (2/06/2020)

HE+ Furnace Program Documents 
PY21 HE+ Furnace Program Manual (09/29/20)
PY21 HE + Furnace Program Manual Summary of Changes (09/29/20)
FFY2021 HE+ Furnace Program Contact Information Form (8/18/2020)
FFY20 HE+ Furnace Program Manual (9/11/19)
FFY20 HE + Furnace Program Summary of Changes (9/11/19)
FFY2020 HE+ Furnace Program Contact Information Form (8/22/2019)
HE+ Furnace Program Customer Agreement-English Fillable Form  (9/26/2018)
HE+ Furnace Program Customer Agreement-Hmong Fillable Form (9/26/2018)
HE+ Furnace Program Customer Agreement-Spanish Fillable Form (9/26/2018) 
HE+ Furnace Program Tribal Attestation of Homeownership Form (9/26/2018)
HE+ Furnace Program Quality Assurance Tool for WX Agencies (9/28/2018)
HE+ Furnace Program Manual Referral Form-Printable (9/28/2018)
HE+ Furnace Program Manual Referral Form-Electronic (9/28/2018)

 


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Last Modified:  10/1/2020 7:36:00 AM
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