NIPSCO HEA form

Name as it appears on your NIPSCO utility bill:*

First NameLast Name

Home Address*

Street Address

Street Address Line 2

CityState

Zip Code

Phone Number*

Area CodePhone Number

Email*

example@example.com

Is your home more than five years old?*

YesNo

Home must be more than 5 years old to be eligible for a Home Energy Assessment.

My home is a:*

Have you had a utility-sponsored energy assessment in the past three years?*

YesNo

NIPSCO customers are eligible for a home energy assessment every three years.

Do you Rent or Own?

RentOwn

Renters are eligible to participate with landlord approval.

How did you hear about this program? Please check all that apply.

NIPSCO's energy efficiency programs are administered by TRC, a third party implementation specialist that helps homes and businesses save energy.

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