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Weatherization Application
Document Upload

ELIGIBILITY REQUIRED DOCUMENTATION

All adult members of the household must sign the application and release information form; and submit a

photo identification card (i.e. NC valid driver's license or ID card issued by the State).

Upload Adult Photo ID 1
Upload supported file (Max 15MB)
Upload Adult Photo ID 2
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Upload Adult Photo ID 3
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Upload Adult Photo ID 4
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HOUSEHOLD INCOME DOCUMENTATION

Income information for all individuals in the household must be provided and cover a 12-month period from the date of application. This would include minors who receive SSA, SSI or have a part-time job. (We cannot accept a bank statement as proof of income) Submit ALL benefit/income that applies to each HOUSEHOLD MEMBER.

Upload Federal Income Tax Return
Upload supported file (Max 15MB)
Copy of Final Pay Stub 1
Upload supported file (Max 15MB)
Schedule C or F if Self Employed
Upload supported file (Max 15MB)
Upload Work. Comp./Unemployment
Upload supported file (Max 15MB)
Upload Soc. Sec. SSA and SSI Benefits Doc.
Upload supported file (Max 15MB)
Upload Retirement/Pension Other Income Doc.
Upload supported file (Max 15MB)
Upload Federal Income Tax Return
Upload supported file (Max 15MB)
Upload Federal Income Tax Return
Upload supported file (Max 15MB)
Copy of Final Pay Stub 2
Upload supported file (Max 15MB)
Copy of Final Pay Stub 3
Upload supported file (Max 15MB)
Schedule C or F if Self Employed
Upload supported file (Max 15MB)
Schedule C or F if Self Employed
Upload supported file (Max 15MB)
Upload Work. Comp./Unemployment
Upload supported file (Max 15MB)
Upload Soc. Sec. SSA and SSI Benefits Doc.
Upload supported file (Max 15MB)
Upload Work. Comp./Unemployment
Upload supported file (Max 15MB)
Upload Soc. Sec. SSA and SSI Benefits Doc.
Upload supported file (Max 15MB)
Upload Federal Income Tax Return
Upload supported file (Max 15MB)
Copy of Final Pay Stub 4
Upload supported file (Max 15MB)
Schedule C or F if Self Employed
Upload supported file (Max 15MB)
Upload Work. Comp./Unemployment
Upload supported file (Max 15MB)
Upload Soc. Sec. SSA and SSI Benefits Doc.
Upload supported file (Max 15MB)
Upload Retirement/Pension Other Income Doc.
Upload supported file (Max 15MB)
Upload Retirement/Pension Other Income Doc.
Upload supported file (Max 15MB)
Upload Retirement/Pension Other Income Doc.
Upload supported file (Max 15MB)

Documentation of Alimony, TANF, Work First, child support, or OTHER income history for EACH household member
for the last 12-months

Upload Document Here
Upload supported file (Max 15MB)
Upload Document Here
Upload supported file (Max 15MB)
Upload Document Here
Upload supported file (Max 15MB)
Upload Document Here
Upload supported file (Max 15MB)

PROPERTY OWNERSHIP DOCUMENTATION

The following documents may be accepted:

Upload Property Tax Notice
Upload supported file (Max 15MB)
Upload recorded deed stamped
Upload supported file (Max 15MB)
Upload Certification of Title Mobile Home
Upload supported file (Max 15MB)

FOR RENTERS ONLY: The owner is required to provide proof of ownership, complete the Landlord Participation Agreement form, and include a copy of the rental lease agreement. This form is provided by the agency and it must be requested.

Upload Renter's Documents
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FUEL/UTILITY CONSUMPTION HISTORY

12-months of fuel/energy consumption history from each fuel/utility company that service your dwelling. The information must include days in the billing cycle, date the meter was read, cost and consumption for the last 12- months. This information can be obtained by calling your electric company or your heating fuel supplier and request a 12-months consumption history.

Upload Utility Records
Upload supported file (Max 15MB)

Thank you for submitting your documents to the I-CARE, Inc. Weatherization Program. We will be in touch with you within 5-7 days.

1415 Shelton Avenue 
Statesville, NC 28677 
Tel: (704) 872-8141 
Fax: (704) 871-1299 

Copyright ©2024 I-CARE, Inc. 
All Rights Reserved.

In accordance with federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, this institution is prohibited from discriminating on the basis of race, color, national origin, sex (including gender identity and sexual orientation), disability, age, or reprisal or retaliation for prior civil rights activity.

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