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HPI is a weatherization contractor that specializes in making energy-efficient upgrades to single-family, multifamily, and commercial properties in Virginia.

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Ready to make an impact?

Let's Find out if you are
eligible for rebates

Rebate Eligibility Form

Contact Information

Please provide your contact information so we can reach out to you to discuss your options once we have reviewed your survey.

First Name

Last Name

Primary Phone

Is this a mobile number?

Yes

No

Alternate Phone Number

Is this a mobile number?

Yes

No

Email

Do you rent or own?

Household Info.

, The following questions will help us determine which programs you may be eligible for and how to best to serve you as our customer.

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

How many people live in the household?

Is anyone in the household over 60 years old?

Yes

No

Unknown

Is anyone in the household a veteran or active military?

Yes

No

Unknown

What is your household income?

Is anyone in your household receiving the following assistance? Choose all that apply.

Do you live in a single-family or multi-family (apartment) home?

Single-family home

Multi-family home

Which of these options best describes your Single-Family Home?

Are you experiencing any comfort issues or damage to your household? (Certain room(s) are cold in the winter, roof leaks, etc.). Please specify the issue(s), location(s), and how long you've been experiencing the issue(s).

Utility Providers

{dyanmic.names}, thank you for the household details. The following questions will help us determine if any weatherization assistance programs are available in your area.

Household Electric Provider

Household Natural Gas Provider

What fuel do you use to heat your household in the winter?

How did you hear about us?

Please provide the specific referral source(s) from the previous question.

How would you like us to contact you?

By Phone

By Email

Locations

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