Community Resources Weatherization Program can help you save on energy bills- including rental properties!
Questions? Call us!
If someone in your household has a disability, then income over the above amounts may not disqualify you from services. You must be a resident of the state of West Virginia to apply. Preference may be given to people over 60 years of age, families with one or more members with a disability, families with children under 5, and families on welfare. If you have any questions regarding the form or the required documentation, please call 304.485.5525 or visit https://www.benefits.gov/benefit/580.
The following is a complete application for Weatherization. Please answer each question and carefully read any instructions, notes, or comments as you move through the application. Failure to complete the application fully will result in automatic deferment until the application is completed and all required documents are signed and submitted. If you need assistance completing the application, please submit the "general information" section, then call Community Resources at 304.485.5525 to schedule an appointment with a case manager.
Additional Household Members: Names
Additional Household Members: Gender
Additional Household Members: Birthdays
Applicant Social Security Number
Additional Household Members: SS Numbers
Applicant Family Relationship
Head of Household
Additional Household Members: Family Relationship
Are you currently living in the household?
Does anyone in the household have a disability?
If yes, who in your household has a disability?
What is your marital status?
What language(s) do you speak most frequently?
What is your physical address?
Street Address Line 2
State / Province
Postal / Zip Code
Is your mailing address different from your physical address?
If yes, what is your mailing address?
Grandparent(s) raising grandchild(ren)
Multiple adults (living with children)
Multiple adults (no children)
Single parent female (living with children)
Single parent male (living with children)
Single person (living alone)
Single person (living with others)
Single person (living with partner)
Two parent household (living with children)
Living with friends or family
Applicant Highest Level of Education Completed?
High school graduate/GED
12+ some post secondary
2-4 year college graduate
Post graduate degree
Additional Household Members: Highest education level completed
Applicant Military Status
Additional Household Members: Military Affiliation
Applicant Work Status
Not in labor force
Unemployed for over 6 months
Unemployed for less than 6 months
Migrant Seasonal/Farm Worker
Additional Household Members: Work Status
White or Caucasian
Black or African American
Bi-Racial or Multi-Racial
American Indian or Alaska Native
Pacific islander or Native Hawaiian
Additional Household Members: Race
Hispanic or Latino
Non-Hispanic or Latino
Additional Household Members: Ethnicity
Monthly Income Sources for Each Household Member
IS General Assistance
Please add together monthly income sources for each household member and type total monthly income below:
Guide to Recording Monthly Income Sources
In the space provided above, please list all of your selected monthly income sources and their amount in $$. Next, add the income source amounts together to find your TOTAL monthly income. Example: Alimony: $300 + Employment Earnings: $1,000 = Total Monthly Income: $1,300.
Proof of Income for ALL working household Members: (Includes Pay Stubs for the last month, Social Security Award Letters, Child Support Documentation, etc.)
This section is intended to gather more information about your current place of residency as well as your heating and cooling providers. Please answer each question to the best of your ability and ONLY answer questions that are applicable to your household.
Home # of Stories
Type of Dwelling
Site Built (built from bottom up)
Modular Home (no wheels)
Mobile home with add-on
Multi-Family Unit (5 or more homes in 1)
Duplex (2 homes under 1 roof)
3 or 4 unit rental
Do you live in a
Year home was built (or best estimation)
Are there smokers in your home?
If yes, how many?
Was the home previously weatherized?
If so, when?
If previously weatherized, was the dwelling subsequently damaged by fire, flood, wind, or any other event?
If yes, when?
Do you use space heaters?
If yes, how many?
Does the government assist with the rent or mortgage payment?
How much is monthly rent or mortgage payment?
Who is your primary heating vendor
Secondary Heating (*if applicable)
Who is your secondary heating vendor
How do you cool your home?
How much is your monthly energy bill?
Please upload documentation of your most recent Gas bill:
Please upload documentation of your most recent Electric bill:
Please provide detailed directions to your home:
*please note: directions can/should include roads, highways, and major landmarks that lead to your dwelling
In order to fully process your Weatherization application, we need the following forms filled out/signed for our records: Weatherization Consent form, Customer Consent form, Income Verification form, 0 Income Affidavit*, Landlord Agreement form**
*0 Income Affidavits only need to be filled out by household members over the age of 18 who do not have income. **Landlord Agreement forms are only necessary for applicants currently in a rental agreement. Please have your landlord fill out the document and return it to your local Community Resources office.
Preference for signing documents:
Email me: sign electronically online through Docusign
Mail me my documents
Sign documents at my local Community Resources office
Select a Community Resources, Inc. Address by County:
Calhoun- 258 Court Street Grantsville, WV 26147
Doddridge-1163 WV RT 18N Suite 1 West Union, WV 26456
Gilmer-102 East Main Street Glenville, WV 26351
Jackson-206 Stone Drive Ripley, WV 25271
Pleasants-212 Second Street St. Marys, WV 26170
Ritchie-633 South Spring Street Harrisville, WV 26362
Roane-811 Madison Ave. Room 22 Spencer, WV 25276
Tyler- 308 East Street Middlebourne, WV 26149
Wetzel-21 Rosary Road New Martinsville, WV 26155
Wirt-90 Senior Circle, Room 1 Elizabeth, WV 26143
Wood-1037 Market Street Parkersburg, WV 26101
Phone Numbers by County:
Calhoun- (304) 354-9265
Gilmer- (304) 462-8698
Jackson- (304) 373-0313
Pleasants- (304) 684-3461
Ritchie- (304) 643-2332
Roane- (304) 927-4632
Tyler- (304) 758-0696
Wetzel- (304) 455-2701
Wirt- (304) 275-4306
Wood- (304) 485-5525
Are you sure you're ready to submit? Please click the back button if you wish to review your application before hitting "Submit".
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