I am the Applicant that has completed this Application. I request Home Energy Solutions - Income Eligible services for the Property above. I understand
if qualified that the initial visit will be provided at no cost to me. I authorize Eversource and United Illuminating (Utilities) and their authorized vendors and
agents to enter my Property to perform the Initial Visit, provide me with Home Energy Solutions - Income Eligible services and verification services to
confirm proper install.
This must be signed by the person who owns the utility account.