JCEO Weatherization Program Application Form
This application form is for the FREE Weatherization Program and EmPower NY Program offered by JCEO. It includes instructions to determine eligibility and submit necessary documents. Applicants should be aware of the waiting list and the landlord's responsibilities if renting.
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How do I fill this out?
To fill out the application form, start by reading the instructions carefully. Make sure to complete all required sections and gather supporting documents. Once finished, submit your application along with the necessary paperwork to the specified address.

How to fill out the JCEO Weatherization Program Application Form?
1
Read the instructions included with the application.
2
Complete the application form by filling in all required fields.
3
Gather all necessary documents as outlined in the checklist.
4
Make copies of the documents for your records.
5
Submit the application along with all copies to the provided address.
Who needs the JCEO Weatherization Program Application Form?
1
Individuals looking for assistance with energy costs.
2
Renters whose landlords agree to participate in the program.
3
Families seeking help with home energy efficiency improvements.
4
Seniors looking for programs that facilitate home upgrades.
5
Low-income households requiring support for utility expenses.
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What are the instructions for submitting this form?
To submit the application, send the completed form along with all required copies of documents to the following addresses: JCEO Clinton County at 54 Margaret Street, Plattsburgh, NY 12901 or JCEO Franklin County at 17-19 Webster Street, Malone, NY. For inquiries, please call 518-561-6310 or fax to 518-562-2947. Ensure all documents are attached to avoid delays!
What are the important dates for this form in 2024 and 2025?
For 2024 and 2025, please be aware of application deadlines and program updates that may affect your eligibility. Dates may vary depending on funding and availability of services. Always check with JCEO for the most current information regarding important deadlines related to the program.

What is the purpose of this form?
The primary purpose of this form is to determine eligibility for the FREE Weatherization Program and the EmPower NY Program administered by JCEO. This initiative aims to enhance energy efficiency for low-income households, ensuring they receive necessary support to manage energy costs. By filling out this application, applicants take a vital step toward improving their home energy efficiency and quality of life.

Tell me about this form and its components and fields line-by-line.

- 1. Applicant's Name: Enter the full name of the applicant.
- 2. Address: Provide the complete address of the applicant's residence.
- 3. Income Details: List any income sources or state if there are none.
- 4. Landlord Information: If renting, provide the landlord's name and contact information.
- 5. Signature: Sign and date the application to confirm the information provided.
What happens if I fail to submit this form?
If the form is not submitted correctly or completely, the application may be delayed or denied. Submitting incomplete paperwork could result in a long wait or loss of eligibility for the program. It's crucial to review all sections of the form and ensure all required documents are attached.
- Missing Information: Incomplete fields may lead to processing delays.
- No Supporting Documents: Failure to include required documents can result in disqualification.
- Improper Submission: Submissions sent to the wrong address will not be processed.
How do I know when to use this form?

- 1. Energy Assistance: When you need support for your energy expenses.
- 2. Home Improvements: To apply for upgrades to enhance energy efficiency.
- 3. Landlord Participation: When your landlord needs to be involved in the application.
Frequently Asked Questions
How do I fill out the JCEO Weatherization Program Application?
Start by carefully reading the instructions provided, complete all sections, and submit the required documents.
What should I do if my landlord is involved?
The landlord must complete a separate homeowner's packet and may be responsible for a portion of the weatherization cost.
Can I edit the application form?
Yes, you can edit the application form directly on PrintFriendly before submitting it.
How do I submit the completed application?
Return your completed application and necessary documents to the specified address provided in the instructions.
What if I cannot submit original documents?
You should make copies of all necessary documents and submit those instead of originals.
How long is the waiting list for this program?
Currently, the waiting list is approximately 12-18 months.
Is there any cost associated with this program?
If you're a renter, your landlord may need to cover a portion of the costs, but fees can be waived under certain conditions.
What if I have questions while completing the form?
You can call JCEO at 518-561-6310 if you have any questions about the application.
Can I save changes made to the PDF?
You can edit and download the PDF, but currently, you cannot save the file directly on the site.
What services does JCEO offer?
JCEO provides various services including food services, energy assistance, and community outreach programs.
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