Home Efficiency Program Sign Up Green Iowa Home Assessment Sign-up Name* First Last Address Street Address Address Line 2 City State Email Phone*I am a...HomeownerRenterLandlordHome Type*Single family homeDuplexApartment in a multi-unit buildingCounty*Winneshiek CountyAllamakee CountyClayton CountHoward CountyFayette CountyChickasaw CountyPrimary Heating Sources*Check all that apply. Propane Electricity Natural Gas Wood Stove Renewable Energy Renewable Heat Source*Please describe what type of renewable heat source you have.Type of Water Heater*GasElectricHybrid (Gas / Electric)Biomass / WoodI don't knowFree Direct Install EligibilityCheck all that apply I have a Low-Moderate income household (see main page for scale) I am 65 or older I am a Veteran I am a person with disabilities How did you hear about this program?Trip Fee*Households outside of Winneshiek County must pay a $25 trip fee. The charge can be split between neighboring households that are served on the same day. Yes, I agree to the $25 trip fee NameThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.