Cps Casa Verde Details

In this blog post, we will be looking at the application Casa Verde. This is a platform that uses blockchain technology to collect and distribute funds for sustainable development projects in Latin America. The goal of the app is to help people living in poverty by providing them with access to financial services and employment opportunities through mobile banking. One of the main benefits of this app is that it provides users with a way to build credit history, which will affect their ability to access traditional loans or other types of financing in the future. If you would like more information about how this app works, please continue reading below! The introduction paragraph should be short and engaging so readers want to continue reading your article/blog post.

If you would like get a few specific details about the file you intend to work with, here's the facts you might like to read prior to completing the application casa verde.

QuestionAnswer
Form NameApplication Casa Verde
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namescps casa verde, cps weatherization program, casa verde application, casa verde cps application

Form Preview Example

Casa Verde Weatherization Assistance Program Application

Applicant Information

First Name

Last Name

CPS Energy Account Number

Street Address

City

Zip Code

County

District Number

Primary Phone Number

Alternate Phone Number

Date Of Birth

Social Security Number

E-mail

 

Total Gross Monthly Income

Income Type (e.g. Self-Employed, TANF, Annuity)

Additional Occupants

That Live At This Address

Date of

Birth

Total Gross

Monthly Income

Income Type

(e.g. Self-Employed, TANF, Annuity)

Social Security Number

(If over 18 years of age)

Disabled: Yes

No

 

Do You Have Access To The Internet? Yes

No

Do you Have Mobile Internet Access Such As A Smart Phone? Yes

No

 

Do You Own The Property Or Are You Renting? Own

Rent

 

 

How Did You Learn Of This Program?

 

 

 

Information About The Property

Year House Was Built

 

 

 

 

 

Date Last Weatherized

 

 

Property Type: Private House

Mobile Home

Low Rent Federal Subsidized Housing

Apartment

Room

Heating Unit Used: Cook Stove – Oven

Electric Heat Pump

Unvented Space Heater

Furnace - Wall or Central

Energy Used to Heat Household: Natural Gas

 

Electricity

 

Bottled Gas

Other

 

 

Air Condition Used: None

Central Unit

 

Window Unit

Evaporative Cooler

 

 

What type Of Water Heater?

Natural Gas

 

Electricity

 

Solar Water Heater

 

 

 

Does Your Residence Have A Programmable Thermostat/Timers? Yes

No

 

 

 

Does Your Residence Have A Swimming Pool Pump? Yes

No

 

 

 

 

Casa Verde Weatherization Assistance Program Application

CASA Verde SA Applicant’s Authorization, Understanding and Agreement

My answers to all of the previous questions and to the statements I have made are true and correct to the best of my knowledge. I authorize the CPS Energy and its contracted agencies to contact any source in order to solicit/verify information necessary for an eligibility determination. I also agree to provide the CPS Energy and its contracting agencies with any information necessary to verify my eligibility. If I am eligible for weatherization services, I give my permission to allow work on the residence listed on this form. I will cooperate fully with Casa Verde by making myself available at ALL phases of the program (assessment, installation, inal inspection). Failure to do so could result in forfeiture of the (1) YEAR WARRANTY on the MEASURES INSTALLED. I have been informed that the home may be dusty upon completion of work and I will not hold CPS Energy responsible for cleaning upon completion. I have been advised and understand that this application will be considered without regard to race, color, religion, creed, national origin, sex, or political belief.

PENALTIES FOR FRAUD!

Whoever obtains or attempts to obtain weatherization services for which he or she is not entitled, by means of willful false statements or other fraudulent means, may be considered guilty of a criminal offense and upon conviction may be ined and/or imprisoned.

NOTE: BEFORE YOU SIGN, BE SURE EACH ANSWER IS COMPLETE AND ACCURATE.

I hereby authorize CPS Energy and the City of San Antonio to release all enclosed application information to other agencies offering similar programs for beneit of the home (i.e. minor repairs, energy and water eficiency, generation and conservation).

Applicant Signature

Date

 

 

 

Signature – Individual making application on applicants behalf or caseworker who assisted in completion of application

Date

 

 

 

In-Take Representative

Date

 

Home Manager Applicant’s Authorization, Understanding and Agreement.

My answers to all of the previous questions and to the statements I have made are true and correct to the best of my knowledge. By signing below, I acknowledge that I understand the qualiications necessary for enrollment in the Home Manager Program and once approved for participation in the Program, I agree to the terms of Program participation which have been provided to me and which are located at www.cpsenergysavers.com.

Applicant Signature

Date

 

 

 

Signature – Individual making application on applicants behalf or caseworker who assisted in completion of application

Date

 

 

 

In-Take Representative

Date

 

CVAPP10/13

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