• Livable Nashua Energy Coaching Intake Form

    Complete this form to participate in the program and start your energy efficiency journey.

  • Homeowner Information

  • Format: (000) 000-0000.
  • Preferred Method of Contact*

  • Property Details

  • Do you own and live in this home as your primary residence?*
  • Type of home*
  • Primary heating fuel*
  • Does the home currently have central air conditioning?*
  • Does the home currently have solar panels or other renewable energy systems?*
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  • Upload a File
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  • Energy Needs & Goals

  • What energy concerns or upgrades are you most interested in?*
  • Have you had an energy audit in the past 5 years?*
  • Would you like a no-cost energy audit through the program?*

  • Household Income Information

  • Which benefits do any household members receive?
  • Willing to provide income documentation if needed?*
  • Income data helps determine eligibility for enhanced rebates and federal programs and will remain confidential.

  • Required Documentation

  • Upload a File
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  • Document status*

  • Consent and Next Steps

  • Would you like to be contacted to create a personalized home energy improvement plan?*
  • Date*
     - -
  • Should be Empty: