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 call our offices at 845-338-8750.
Please send the below client forms to:
Contact: Jamie Linzey
Email: jlinzey@uccac.com
Phone: 845-338-8750 ex 120
Weatherization Program:
Weatherization Application – Homeowners
- Cover Sheet
- DHCR#4 –Weatherization Application
- DHCR#5A – Energy Information
- DHCR#3 – Personal Privacy Protection Form
- Weatherization Partnership Agreement
- Weatherization Partnership Agreement
- Client Information Sheet – House
- Client Information Sheet – Mobile Home
* Renters along with Landlords need to call the office for information and applications.
* Group Homes and Shelters need to call the office for approval.