Weatherization

Primary tabs

Client Files

1. Client File Checklist (Required)	2. Annual Income Calculations (required) (Rev. 11/2019)
3. Landlord/Tenant Agreement – if required (Rev. 8/2019)	4. No Previous Weatherization Checklist (required) (Rev. 4/2022)
5. Certification of Zero Income (required if applicable) (Rev. 6/2022)	6. Progress Form (required) (Rev. 9/2022)
7. Client Rights & Responsibilities (required) (Rev. 3/2020)	8. Household Action Plan (required) (Rev. 7/2019)
9. Client Health & Safety Evaluation Form - For Client (recommended) (Rev. 7/2019)	10. Client Health & Safety Evaluation Form – For Auditor (required) (Rev. 9/2020)
11. Refusal for Services Indemnification Waiver of Claims (Required if applicable) (Rev. 7/2019)	12. Hazard Disclosure Form (required) (Rev. 10/2020)
13. Residential Diagnostic Evaluation (REQUIRED) (Rev. 8/25/2021)	14. Waiver and-or Health and Safety and-or WRF Form (required if applicable) (Rev. 7/24/2023)
15. Quality Control Inspection Checklist (required) (Rev. 7/24/2023)	Utility Release Form

General Information & Program Guidance

Weatherization Income Qualification Limits	FY2021 - FY2026 AZ WAP Field Guide
DOE Weatherization Program Notices & Memorandums	SHPO Programmatic Agreement

Sub-grantee and Contractor Specific

1. Calibration Tracking Sheet	Job Cost Submittal Form
Training & Technical Assistance Form (required, if applicable) (REV 7/26/2019)	WAP Sub-grantee Inventory Form
WAP Sub-grantee/Contractor Certification Verification Form	Employee Certification Verification Form
Receipt of Field Guide Verification	Free Self-Paced WAP Administrative Training

Weatherization Plans

FY2023 Arizona WAP State Plan	FY2023 Arizona WAP Health and Safety Plan
FY22-27 WAP BIL State Plan