2024 -- Needs Assessment (Answer All Questions to Complete This Requirement)

First Name

Last Name

Phone Number

Address, City, State & Zipcode

Which income group below best describes your household (check one)?

Does anyone in your home (check all that apply):

Struggle with a medical need that requires you to keep your home at a certain temperature? Have medical equipment that gets plugged in? Does not apply

My home... (select all that apply)

Is affected by drafts, holes or damage near the windows, doors, floors, ceiling, or roof and/or lacks proper insulation

Has an inefficient or broken heating/cooling system; or uses something other than your regular heat source (space heater, stove, oven, etc.) to heat the homeHas water or dampness in rooms other than the bathroom and kitchenDoes not apply

In the past 12 months, have you been unable to repair your heating or cooling system due to lack of finances?

What is your housing situation?

What type of home do you live in?

The Home Energy Score report will provide recommendations for services that can help you save energy and money. If your household is eligible, would you like a call to schedule your home energy score? Please note that apartment complexes and Multi Family (3 or more units) are not eligible.

Each grant term the SWP MEAP requires the completion of the Energy Security Plan and the Energy Conservation and Money Management Workshops. How would you like to do those requirements?

Are any of your utilities DTE, SEMCO or UPPCO? If yes, would you be interested in saving money each month for 24 months by enrolling in an affordable payment plan? Must be SER approved.

If your FPL is 110% or below, and you do not file a tax return, would you like information on applying for the Home Heating Credit?

Do you need referrals for any other services?

List of Referrals Needed