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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 Adult Photo ID 2
Upload Adult Photo ID 3
Upload Adult Photo ID 4

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

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

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PROPERTY OWNERSHIP DOCUMENTATION

The following documents may be accepted:

Upload Property Tax Notice
Upload recorded deed stamped
Upload Certification of Title Mobile Home

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

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

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

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