Building Change, Inc - MEA Weatherization Grant Application

Building Change Inc. (formerly BCFF), a non-profit organization working with support from members of the Municipal Collaboration and jurisdictions in the Southern and Central Districts of Maryland, are providing weatherization upgrades funded by a Maryland Energy Administration (MEA) Grant. Qualified homeowners get upgrades at no cost that will save money on monthly utility bills and make your homes more energy efficient.

Website:

https://www.edge-gogreen.com/grants/

https://buildingchange.net/portfolio-items/smod/

Questions?

Please contact Grant Administrators: Lt. (Ret) James (Jim) Flynn 240-417-9098 (cell), or Alison Miller 301-908-4079

The following make the home ineligible for this opportunity:

False Income Statements or; Aggressive dogs not being safely handled; Drug use on premises; Threats to auditor; Home found structurally inadequate; Rental property; and/or any safety or other issues prohibited by grant special conditions.

In addition to the above, the following could (after inspection) also make the home ineligible:

Knob and Tube wiring (means you can’t install attic insulation); Mold problem; water problem such as a hole in the roof or standing water in the basement; home sealed too tight resulting in the inability of fumes to escape through natural ventilation; major roof issues; major plumbing issues; or a Gas leak.

Veterans and/or Retired Homeowners will be given preference.

Please complete the following application to be considered for the Grant.

Name* This field is required.

First Name

Last Name

Address* This field is required.

Street Address

Street Address Line 2

City

State

Zip Code

Country

Mobile Phone Number* This field is required.

Please enter a valid phone number.

Home Phone Number

Please enter a valid phone number.

Alternate Phone Number

Please enter a valid phone number.

example@example.com

I am a Veteran

YESNO

I am a Senior Citizen

YESNO

How many people live in your house?* This field is required.

How many people are on the deed of the home?* This field is required.

Income Table (for reference)The annual gross income of those on the deed (answered above), must be LESS THAN the stated maximum allowable income identified below, relative to the number of people living in the home (answered above).

I certify that based on the number of people living in the home (answered above), the annual gross income of those on the deed (answered above) is LESS THAN the stated maximum allowable income identified above in the "Income Table". This will need to be supported by documentation as requested on the next question.* This field is required.

YESNO

Proof of Income - 1040 Tax Return* This field is required.Take a picture of, or upload the required document. I understand that this information is subject to verification by the State of Maryland. Please upload your most recent Federal Form 1040 Income Tax Return (Page 1 and 2 only) OR Social Security Annual Benefit Stuff OR Proof of Income (if you're not required to file.

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

Electric Utility* This field is required.Who is your electric provider?

Electric Utility Account Number* This field is required.

Copy of Full Electric Bill* This field is required.Please upload a FULL copy of your most recent electric utility bill, to include account number and monthly energy usage chart

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Select files to upload

Max. file size: 10.6MB

Natural Gas UtilityWho is your natural gas provider?

Natural Gas Account Number

Copy of Full Natural Gas BillPlease upload a copy of your most recent natural gas bill, to include account number and monthly energy usage chart.

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Select files to upload

Max. file size: 10.6MB

Do you have other fuels at your home?

Oil

Propane

Other

Name of Additional Fuel Supplier

How did you hear about this program?* This field is required.

Facebook

Montgomery Village Website

Howard County Schools

Food Bank

Customer Referral

EDGE Energy Employee

SMECO HEIP

Church / Faith Organization

Town Website / Newsletter

Devere

Stark Mechanical

Advanced Green Home Solutions

Other

We’d love to give credit to our past customer or Employee or Organization who referred you! What’s their name?

Signature* This field is required.I understand COVID-19 is contagious and I am comfortable with the contractors performing services while utiliizing PPE equipment for our mutual safety. I solemnly declare, under oath, and subject to the penalties of perjury, that the above information is true and correct to the best of my knowledge and belief.

Clear

Date of Submission* This field is required.

Date

Building Change, Inc - MEA Weatherization Grant Application