Name(Required) First Last Service Address(Required) Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Phone(Required)Email(Required) Type of Heat(Required) Electric Heat Gas Heat If you have gas heat, please visit: Energy Trust of Oregon.Briefly explain your reason for an audit request(Required)What type of home do you have?(Required) Single Duplex Multi Mobile What is the square footage of your home?(Required)What year was your home built?(Required)How is your home heated?(Required) Furnace Baseboard Ceiling Heat Pump Wall Hydronic What type of supplemental heat do you use?(Required) Wood Oil Natural Gas Propane Pellet Stove None Other Is your floor insulated?(Required) Yes No Is your attic insulated?(Required) Unknown Yes No N/A Are your walls insulated?(Required) Unknown Yes No Is your water heater in your garage?(Required) Unknown Yes No Is your water heater in a heated or unheated garage(Required) Unknown Heated Unheated N/A not in a garage What type of windows do you have?(Required) Unknown Single pane Double pane aluminum Double pane vinyl Other CAPTCHAEmailThis field is for validation purposes and should be left unchanged.
