Pre-Audit Form

Name * Required
First Last
Address * Required
Street Address City State ZIP Code
Property Type * Required
Phone * Required
Email * Required
What are your goals with this Energy Audit? * Required
Approx. Year of Construction
Age of Roof
Summary and Age of Additions
Architectural Style of Home
If Known: Insulation Type in Walls, Attic, Basement
Number of Separate Apartments in Building * Required
Number of Occupants * Required
Number of Bedrooms * Required
If Known: Square feet above grade
Is the basement heated?
Please list cold or hot spots in the building and specific issues we need to address: * Required
Do you have Carbon Monoxide detectors? * Required
Laundry Dryer * Required
What fuel does it use?
Kitchen Cook-top * Required
What fuel does it use?
Kitchen Oven * Required
What fuel does it use?
Do you use a Dehumidifier? * Required

If so, how many hours a day? How many days a year?
Do you use an Air-Conditioner? * Required

If so, how many hours a day? How many days a year?
Age of Refrigerator in years
Leave blank if unknown or not applicable.
Age of Freezer in years
Leave blank if unknown or not applicable.
Age of Air Conditioner in years
Leave blank if unknown or not applicable.
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Which electric utility do you have? * Required
Do you have any high use electrical equipment? * Required

If so, what?
What fuel does your Hot Water Heater use? * Required
Hot Water Heater type * Required
Primary Heating Fuel * Required
What fuel does your home’s primary heat source come from?
Primary Heating Fuel Cost * Required

For example, $1,350 in oil last winter
Primary Heat Distribution * Required
How is heat dispersed around your home?
Primary Heating Fuel Delivery Schedule(s) * Required

You can contact your fuel provider or dealer to obtain this information and attach separate sheets if necessary. Please share 2 years of delivery records showing units (e.g., gallons) delivered and their related delivery dates. For example, 250 gallons delivered on 11/11/2019, 288 gallons delivered on 1/11/2020, etc.
Primary Heating Fuel Records
Drop files here or

Max. file size: 300 MB.
Attach files related to your fuel delivery schedule.
Secondary Heating Fuel
What fuel does your home’s primary heat source come from?
Secondary Heating Fuel Cost

For example, $230 a cord
Secondary Heat Distribution
How is heat dispersed around your home?
Secondary Heating Fuel Delivery Schedule(s)

You can contact your fuel provider or dealer to obtain this information and attach separate sheets if necessary. Please share 2 years of delivery records showing units (e.g., gallons) delivered and their related delivery dates. For example, 250 gallons delivered on 11/11/2019, 288 gallons delivered on 1/11/2020, etc.
Secondary Heating Fuel Records
Drop files here or

Max. file size: 300 MB.
Attach files related to your fuel delivery schedule.
Electric Utility Provider * Required
Name on Account * Required
Please provide information about your electrical usage for the last 12 months: * Required

If unknown or only partially known (e.g., new homeowner), please enter any information you may have related to electrical usage, or enter “not known.”
Average Electric Payment
Please upload the most recent copy of your electric bill
Drop files here or

Max. file size: 300 MB.
Additional Information

Please use this space to detail any other relevant information.
Additional Files or Uploads
Drop files here or

Max. file size: 300 MB.
Please use this space to upload any other relevant information.
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Account Number

VT Residents: We will access your electrical use through Efficiency Vermont.
Email
This field is for validation purposes and should be left unchanged.

Pre-Audit Form

Pre-Audit Form

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