Click below to download the various Weatherization Assistance Program forms.

Memphis WAP Local Policies and Procedures

Permission Form - Homeowner

Permission Form - Renter

Energy Bill Release Form

TN Limited Power of Attorney Form

 

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MEMPHIS WEATHERIZATION PROGRAM
APPLICATION SUPPORTING DOCUMENTS

In order to expediate the process, please make sure
you have the following available when you submit your application:

 

IDENTITY

  • Driver’s License
  • Military I.D.
  • Social Security Card

 

HOME OWNERSHIP INFO

  • Mortgage statement
  • Deed
  • Other proof of homeownership

 

INCOME INFORMATION (Provide 3 months of proof of income)

  • Pay Stubs
  • Social Security Payment Information
  • Disability Payments
  • TANF Program Payment Information

 

MLGW INFORMATION

  • 12 required with the minimum of 3 months of MLGW Bills
  • Signed Energy Bill Waiver with MLGW account number