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Weatherization Application and Verification Forms

Application Form

Verification Form

Note: These documents are in PDF format.  You will need Adobe Acrobat Reader to view and/or print these documents.  If you do not have Adobe Acrobat Reader- click here to get this free application. adobe

If your home was built prior to 1978, you must read the EPA's "Protect Your Family From Lead in Your Home" brochure. Click Here to download the brochure in PDF form.

After you have read the brochure, please sign the appropriate Verification Form (found in the Verification Form link located above) stating you have done so.


557 E. Fireweed Lane, Anchorage, Alaska 99503
PO Box 196650 Anchorage, Alaska  99519
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