Livingston, NY · Columbia County
Weatherization Assistance Program Application
Homeowners and renters in Columbia County use this application to request Weatherization Assistance Program or EmPower New York services through Columbia Opportunities, Inc.
What this form is
This application asks for household, dwelling, energy, and income details to help determine eligibility for the Weatherization Assistance Program and EmPower New York. Applicants complete the application and client questionnaire, provide the required supporting documents, and sign the applicant affirmation. The application states that assistance is not guaranteed and depends on applications, available funds, and program priorities.
Who needs it
Homeowners and renters in Columbia County seeking weatherization or EmPower New York assistance through Columbia Opportunities, Inc. should complete this application.
How to submit it
Complete and sign the application, include the client questionnaire and required documentation, and return them to Columbia Opportunities, Inc., 540 Columbia Street, Hudson, NY 12534.
About notarization
This application is signed without a notary; the applicant and representative sign and date it, and the applicant affirmation is under penalties of law.
How to submit this form
- 1
Download The Application
Download the Weatherization Assistance Program application and client questionnaire.
- 2
Complete The Application
Fill in the applicant, dwelling, energy, and household income sections.
- 3
Gather Required Documents
Include the client questionnaire and required supporting documentation, using the application checklist.
- 4
Sign And Submit
Sign and date the application, then return it with the attachments to Columbia Opportunities, Inc. at the address provided.
Frequently asked questions
- Do I need a notary for the Weatherization Assistance Program application?
- No. The applicant and representative sign and date the application without a notary; the applicant affirmation is under penalties of law.
- Who can apply for weatherization assistance?
- Homeowners and renters in Columbia County may apply through Columbia Opportunities, Inc. The application says eligibility and services are not guaranteed.
- What documents should I include?
- Include the client questionnaire and required documentation. The checklist describes energy bills, household income records, and proof of ownership for homeowners.
- How do I submit the Weatherization Assistance Program application?
- Return the completed and signed application, client questionnaire, and required documentation to Columbia Opportunities, Inc., 540 Columbia Street, Hudson, NY 12534.
Need something notarized?
This Weatherization Assistance Program Application doesn’t need a notary — but if you have another Livingston form that does, a commissioned online notary can help.