Request an In-Home Audit Energy audit request form. Step 1 of 2 0% Customer InformationCustomer Name* First Last Service Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Renter or Owner?* Renter Owner Audit InformationHow did you hear about our audit program? Briefly explain what you hope to achieve through this audit process.What type of home do you have? Single Duplex Multi Mobile How many square feet is your home? When was your home built? HeatingHow is your home heated? Furnace Baseboard Ceiling Heat Pump Wall Supplemental Heat: Wood Oil Natural Gas Propane Pellet Stove Other None How is your water heated? Electric Gas Other InsulationIs your floor insulated? Yes No I don't know Is your attic insulated? Yes No I don't know Are your walls insulated? Yes No I don't know Water HeaterIs your water heater in your garage? Yes No Is your water heater in a heated or unheated space? Heated Unheated WindowsWhat type of windows do you have? Single pane Double pane aluminum Double pane vinyl I don't know
