Initial Application Form


Family members under the age of 18.
Include earnings from payroll, dividends, PFDs, retirement accounts, etc. Do not use any periods, commas or dollar signs.
List all home heat sources (oil boiler, oil stove, propane, baseboard electric, wood, pellet, other)
Provide an approximate total square footage of your heated living spaces.
A room is a space that you currently use and that is heated on a regular basis.