Weatherization Interest Form Please enable JavaScript in your browser to complete this form.The Illinois Home Weatherization Assistance Program provides FREE energy conservation measures for eligible households. Measures include insulating attics and walls, air sealing, installing LED bulbs, repairing or replacing furnaces, water heaters, and air conditioners. Name *FirstLastEmail *PhoneAddressAddress Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeDo you live in Kane or Dekalb County? *KaneDekalbCommunity Contacts, Inc. serves only Kane and Dekalb counties.Social Security Number (Optional)Annual household incomeHow many people live in your home?Dwelling typeSingle family homeApartmentTownhouse/CondoDo you rent or own your home?RentOwnHave you had weatherization previously? *YesNoIf yes, what year?Submit