Mass Save® Weatherization Self Attestation

Mass Save® Weatherization

Self Attestation
Thank you for your interest in self-attesting for the Mass Save moderate income offerings!

We ask that you follow the link below to complete this step as the submission form has moved to a new site. Thank you for your understanding and we look forward to serving you with energy efficiency measures through Mass Save.

https://masssave-qualify.clearesult.com/
Mass Save® Weatherization Self Attestation

You might be eligible for 100% no-cost weatherization for your home. To find out if you qualify, review the following information:
Language
Household Size
Zip Code
1-Person
*Total Household Income applies to pre-tax income for all household members age 18 and over from wages, salaries, benefits, assets and other sources of income. The Sponsors of Mass Save will only use this information to determine your qualification for enhanced incentives.
2-People
*Total Household Income applies to pre-tax income for all household members age 18 and over from wages, salaries, benefits, assets and other sources of income. The Sponsors of Mass Save will only use this information to determine your qualification for enhanced incentives.
3-People
*Total Household Income applies to pre-tax income for all household members age 18 and over from wages, salaries, benefits, assets and other sources of income. The Sponsors of Mass Save will only use this information to determine your qualification for enhanced incentives.
4-People
*Total Household Income applies to pre-tax income for all household members age 18 and over from wages, salaries, benefits, assets and other sources of income. The Sponsors of Mass Save will only use this information to determine your qualification for enhanced incentives.
5-People
*Total Household Income applies to pre-tax income for all household members age 18 and over from wages, salaries, benefits, assets and other sources of income. The Sponsors of Mass Save will only use this information to determine your qualification for enhanced incentives.
6-People
*Total Household Income applies to pre-tax income for all household members age 18 and over from wages, salaries, benefits, assets and other sources of income. The Sponsors of Mass Save will only use this information to determine your qualification for enhanced incentives.
7-People
*Total Household Income applies to pre-tax income for all household members age 18 and over from wages, salaries, benefits, assets and other sources of income. The Sponsors of Mass Save will only use this information to determine your qualification for enhanced incentives.
8-People
*Total Household Income applies to pre-tax income for all household members age 18 and over from wages, salaries, benefits, assets and other sources of income. The Sponsors of Mass Save will only use this information to determine your qualification for enhanced incentives.
Yes - within rangeNo - below rangeNo - above range
Your household qualifies for 100% no-cost weatherization of your home!
Your household qualifies for the Income Eligible Program. You can formally apply for the Income Eligible Program by completing this application. Learn more on the Mass Save website about no-cost efficiency upgrades.
Your household qualifies for 75% off eligible insulation measures and 100% off air sealing!
NEXT STEPS

Your Energy Specialist will provide you with a proposal for 100% no-cost weatherization for your home’s eligible weatherization opportunities.

Just complete the information below to get started.
NEXT STEPS

Your Energy Specialist will provide you with a proposal for your home’s eligible weatherization opportunities.

Just complete the information below to get started.
NEXT STEPS

Your Energy Specialist will provide you with a proposal for your home’s eligible weatherization opportunities.
Mass Save Project ID#
Mass Save Project ID#*
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Attestation

I certify the information I have provided about my household size and income is accurate and true as of the date noted below.

I agree to provide any documentation needed to verify this information, at the request of the Mass Save Sponsors or their implementation vendor(s).

I understand that any other income-based Mass Save offers I may wish to pursue will require income verification and that this attestation does not constitute a statement of eligibility for any other incentives.

I also understand I may be required to repay any incentives I receive if the information I provided about my household income is false or inaccurate.
Signature*
Date*

MonthDayYear
Date
Should be Empty: