Our forms are provided to our clients in this section. If you do not see what you are looking for, check in our programs section or contact: Darlene Simms at her email
email@example.com or call: 845-338-8750, ext. 120.
Weatherization Application – Homeowners UCCAC Customer Application Intake Form May 2018 fillable
Application and Forms are currently being updated. Please call for an application. We apologize for any inconvenience.
- Cover Sheet
- DHCR#4 –Weatherization Application
- DHCR#5A – Energy Information
- DHCR#3 – Personal Privacy Protection Form
- Weatherization Partnership Agreement
- Client Information Sheet – House
- Client Information Sheet – Mobile Home
- NYSERDA/Empower Application
* Renters along with Landlords need to call the office for information and applications.
* Group Homes and Shelters need to call the office for approval.
HEAD START & EARLY HEAD START PROGRAMS: UCCAC Customer Application Intake Form May 2018 fillable
Program Year Calendar/Handbook: EHS&HS Parent Handbook & Calendar PY2017-18
Head Start Application: App – fillable EHS&HS English&Spanish