This application is for Weatherization Assistance ONLY!

Weatherization Assistance Program
500 Franklin
Waco, TX 76701
254-753-0331 / Fax: 254-753-1730
weatherization@eoacwaco.org

THIS IS NOT AN ENTITLEMENT PROGRAM. 
Program applications will NOT be processed unless all information is provided.

Please use the checklist below to ensure that you are providing all of the required documents:

• Income for the last 30 days for everyone 18 years and older. All Income must be dated within the last 30 (thirty) days from the day application is signed (including income for that date Award letters must show 2023 Benefits. Acceptable proof of income is as follows:  *We do not accept bank statements or tax documents **  If there is no income, Please complete the Declaration of Income Form.
• Social Security Number and date of birth for Everyone in the Household (included on application)
• Utility Bills (Need copies of bills indicated below)
• Need documentation to prove US Citizenship and Identity for all in the household.  To verify citizenship - A certified Birth Certificate or Two supporting documents - (See list of allowable documents)  To verify identity - Texas DL or Photo ID or two supporting documents (See list of allowable documents)
• Landlord agreement with signatures and date if the residence is rented.

WEATHERIZATION ASSISTANCE IS NOT A REHABILITATION PROGRAM AND DOES NOT ADDRESS THE APPEARANCE OF YOUR HOUSE.

The Weatherization Assistance Program performs minor repairs to your home to prevent air from escaping or entering the house. Weatherization measures strive to assist you to maintain a more comfortable temperature level in your home and save you energy dollars. Homes that need weatherization will typically have cracks, holes, and other places where air leaks in and out. Here is a list of the types of work that the weatherization program may address:

• Repair or replace low energy efficient heaters
• Repair or replace low energy efficient air conditioners
• Install attic and/or wall insulation
• Repair doors
• Repair windows
• Replace broken glass and glaze around loose panes in windows
• Weather strip around doors and attic hatches
• Patch holes in the walls where air is coming in or out of the house
• Patch holes in floors and ceilings
• Caulk around window and door frames
• Wrap exposed water pipes

The weatherization program does not provide funds for painting your house, installing new carpet or vinyl flooring, or storm doors.

*How much assistance does the program provide?

EOAC is required to explain all the possible services provided by the Weatherization Assistance Program as part of its client education. EOAC has a limited amount of money that can be spent on any particular home. Therefore, the work done on each home will be different based on the condition of the home, the amount of energy used to heat and cool the residence, and program guidelines set by the Texas Department of Housing and Community Affairs. The initial assessment of your home DOES NOT guarantee that you will be eligible for weatherization services.

I certify that the information on the form is correct and I also understand that receipt of assistance through misrepresentation or fraud is punishable by fine or imprisonment.

I am applying to participate in the Economic Opportunities Advancement Corporation of Planning Region XI's Weatherization Assistance Program.

EMPLOYMENT:  I authorize my employer to provide any relevant information that may be required for program documentation concerning my employment.

COMMUNITY AGENCIES:  I authorize release of any relevant information that may be required for program documentation concerning my eligibility for services.

EDUCATION:  I authorize my educational institution to provide any relevant information that may be required for program documentation concerning my educational status relating to my financial aid status.

LEGAL:  I authorize release of any relevant information that may be required for program documentation concerning my legal status.

I authorize EOAC Weatherization Department to release information included in my application for weatherization assistance to the following entities;

• Texas Department of Housing and Community Affairs
• The Department of Energy (DOE)
• The Department of Health and Human Services
• The Texas Association of Community Action Agencies
• Frontier and Associates
• Oncor

I further give EOAC permission to contact any source in order to solicit/verify information necessary for an eligibility determination.

(You will need to provide a copy of your electric, gas, or propane bills.)

I authorize the Texas Department of Housing and Community Affairs and its contracted agency to solicit/verify information on my energy billing and consumption histories, both past and future, to the extent the information is used only to determine program eligibility and to provide data.

The program for which you are applying requires verification that you are a US Citizen, a non-citizen national, or a legal resident of the United States.  Documentation of your status is required.  This agency uses the Systematic Alien Verification for Entitlements (SAVE) System to verify the status of non-citizens.

I am aware that I am subject to prosecution for providing false or fraudulent information.

(Please provide a copy of the birth certificate for everyone in the household and a copy of the ID or driver's license for adults 18 and older.)

 By signing, I certify that the documents I am providing for citizenship verification are true and correct.

You are now ready to submit your application for Weatherization Services.  Please ensure you have submitted all required documents in order to process your application.