Low-Income Multi-Family Retrofit Program: Enrollment Application
Use this form to submit basic information about your site. You may want to review all the questions before starting. Please note, if you need to save your progress and complete the form later, simply indicate in the last question that your form is incomplete and click submit. You will receive an email with a button for accessing your application. When you have finished editing it, indicate that it is complete and resubmit. We will not review your application until it says complete.
Email address
Site Name
If a housing authority, include the development # if applicable
Your answer
Number & Street
If multiple street addresses, list with unit count for each
Your answer
City/Town
If using a neighborhood or village name, include the municipality name too, e.g. Jamaica Plain/Boston
Your answer
Zip
Your answer
Number of Units (Apartments)
Your answer
Number of Buildings
Your answer
Ownership Type
Are at least 50% of the units reserved for or occupied by low-income residents?
Low-income = less than or equal to 60% of Area Median Income
Utility and Heating System Information
Natural Gas Utility Provider
Electric Utility Provider
Primary Heating Fuel
Primary Heating System Type
Secondary Heating System Type
Domestic Hot Water Type
Has this site previously received any Mass Save rebates?
Contact and Owner Information
Contact Name
Your answer
Job Title
Your answer
Contact Organization
Your answer
Contact Street/Town/Zip
Your answer
Contact Phone
Your answer
Contact Email
Your answer
Is the Owner the same as the Contact?
If yes, skip to Other Information
Owner Entity
Your answer
Owner Contact Name
Your answer
Owner Address
Your answer
Owner Phone
Your answer
Owner Email
Your answer
Other Information
Is this site undergoing refinance now or in the next three years?
Any plans for capital improvements in the next 12 months?
Specifically roofs, walls/ceilings/floors, siding, mod rehab, appliance upgrades, or htg system/DHW
Your answer
Any other information we should know, including constraints on doing work this year?
Your answer
Energy Benchmarking
After we receive your application, we will ask you to provide us with energy usage information. If you are applying for a state-funded public housing site, please contact DHCD for instructions. For all other applicants, we recommend using WegoWise, a 3rd-party online tool for tracking energy and water use. Please indicate below if you already have an account with WegoWise or if you would like to sign up for an account, or if you will provide an alternative form. We will contact you with instructions once your application is deemed eligible.
Will you be using WegoWise?
Ready to Submit?
If you have answered all questions, choose "Yes" below and click submit. If you have not yet answered all questions, click "No" below and submit. You will be able to edit your application later.
My application is complete
A copy of your responses will be emailed to the address you provided.
Please complete the captcha before submitting the form.
Submit
Never submit passwords through Google Forms.
This form was created inside of Action for Boston Community Development, Inc.. Report Abuse - Terms of Service - Additional Terms