Check Your Eligibility in Minutes

Before we can connect you with a licensed contractor for a no‑cost home assessment, we need to confirm that your household meets the program’s guidelines. The short form below collects only the details required by the program administrators—nothing more.

Why We Ask For This Information

Verify Eligibility - Income limits or participation in certain assistance programs determine who can receive funded upgrades.

Ready Your Visit - Basic home details let the field specialist arrive with the right documents and equipment, keeping your appointment quick and efficient.

Protect Your Time - A quick check now avoids scheduling an appointment that could later be declined.

Privacy Note: Your information is shared only with the program administrators and the contractor assigned to your home. It is never sold or used for unrelated marketing—and you may opt out at any time.

When you’re set, scroll down and complete the form. Most people finish in under two minutes, and we’ll let you know the next step right away.

Applicant Details

First Name *

Last Name *

Phone *

Email

Primary Language *

Home Details

Address

Street Address *

City *

State *

Postal code *

What type of home do you live in? *

Who is your ELECTRIC provider? *

Who is your GAS provider *

Other Utility Provider (if applicable)

Do you own or rent the home? *

Please provide contact information of your landlord or manager (as much as you can provide)

Landlord/Manager Full Name

Landlord/Manager Phone

Landlord/Manager Email

Eligibility

How many people live in the home? *

What is the approximate ANNUAL household income? *

$

Does anyone in the home receive any of the following public assistance programs? (Select all that apply) *

By checking this box, I agree to receive important service-related messages from Zero Net Energy Solutions, LLC. These may include appointment reminders, service updates, document requests, and other communications related to my inquiry or participation. Message frequency may vary. Message & data rates may apply. Reply HELP for help or STOP to opt-out.

By checking this box, I agree to receive occasional promotional messages from Zero Net Energy Solutions, LLC, including special offers, updates on available programs, and energy-saving opportunities. Message frequency may vary. Message & data rates may apply. Reply HELP for help or STOP to opt-out.

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1 (888) 388-ZNES (9637)

Zero Net Energy  Solutions is an independent enrollment and marketing partner for licensed contractors and does not represent any utility company.

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I agree to the terms & conditions and privacy policy provided by Zero Net Energy Solutions, LLC. By providing my email, I consent to receive program‑related information by email.