Insulation for Impact Grant

APPLICATION

Please fill out the following information to apply for the Insulation for Impact funding opportunity.

Remember:

Income eligibility is based on total combined income for all household members over the age of 18 living at the home. For each additional household member over 8 people, please contact us.
The primary applicant must 60 years old or older
Please sign and submit this application with supporting documents.
For assistance completing this application email [email protected].

SUPPORTING DOCUMENTS

In order to process your application, the following information MUST be submitted with your application.

**The program administrator reserves the right to request additional program documentation necessary to verify applicant eligibility.**
Age	NES Customer	Income**	Renters
US driver’s license or photo ID Birth Certificate Military ID Passport Any other government issued ID	Provide a current NES Bill with the Homeowner/Applicant's Name as the Primary Account Holder	**Applicants must provide two documents below for each person in the home over the age of 18. Paycheck (check stub must show name, pay period, and gross payment) SNAP Verification Letter Families First (TANF) Verification Letter Social Security, SSI, or SSDI Verification Letter Most recent W2, 1099, 1040 Tax Forms Pension/Retirement Statement Child Support Award Letter Section 8/HAP Letter Federal Taxable Wages (Job) or Letter from employer stating anticipated wages Unemployment Verification Letter/Separation Notice Signed statement certifying zero income Bank statement that demonstrates no recent deposits indicating income Most recent tax returns showing zero income reported	Please, provide a letter from the homeowner outlining their understanding of this grant and giving permission. The letter should include contact information.

Upload Required Documents

First Name*

Last Name*

Phone*

Home Address*

City*

State*

Zip Code*

Mailing Address (if different than above)

Email Address*

How did you hear about the program?

Number of Occupants*

NES Account Number

Household Member Name*

Annual Income*

Birthdate (MM/DD/YYYY)*

Secondary Contact (By listing this person, you allow this person to receive information on the status of your application. No personal information will be shared.)

Name

Phone

For families/households with more than 8 persons, please contact us.

Household Member Name

Annual Income

Birthdate (MM/DD/YYYY)

Household Member Name

Annual Income

Birthdate (MM/DD/YYYY)

Household Member Name

Annual Income

Birthdate (MM/DD/YYYY)

Household Member Name

Annual Income

Birthdate (MM/DD/YYYY)

Household Member Name

Annual Income

Birthdate (MM/DD/YYYY)

Household Member Name

Annual Income

Birthdate (MM/DD/YYYY)

Household Member Name

Annual Income

Birthdate (MM/DD/YYYY)

Has your home been approved for or participated in Home Uplift? Yes No

By checking this box, the Applicant(s) hereby certifies that they read, agrees to, and meets the Terms and Conditions and Program Qualifications as outlined in the application.

The applicant further certifies that all of the information contained in this application and supporting documentation is complete, true and correct, and all household income has been fully disclosed.
Income eligibility approval does not guarantee eligibility for program.
Nashville Electric Service reserves the right to utilize a 3rd party agency to verify income and homeownership information.

I Agree to the Terms and Conditions

In order to better serve you, do we have your approval to share your application and supporting documentation with a local agency who might be able to provide assistance with repairs or energy efficiency improvements? Yes No

Tips to Help Keep Your Bill Down When Temps Are Low

Insulation for Impact Grant

APPLICATION

SUPPORTING DOCUMENTS

For families/households with more than 8 persons, please contact us.

Did you Know?

Multiple studies show a significant amount of heat loss through attics and floors.