Weatherization

Primary tabs

Client Files

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

General Information & Program Guidance

FY2021 - FY2026 AZ WAP Field Guide	SHPO Programmatic Agreement
DOE Guidance Tracker	AZ Weatherization Assistance Program Contact Information
Weatherization Income Qualification Requirements

Sub-grantee and Contractor Specific

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

Weatherization Plan

FY2019 WAP Plan with Health & Safety Plan - Final Approved