Winter-proofing Application Form

ATTENTION: We’ve updated the way we do business, to safely serve your property. Please read more about our COVID-19 Safety Response.

Winterproofing Program Application Form

11. Overview

22. About You

33. Your Household

44. Your Home

55. Contact Info

66. Review

Let’s see if you’re eligible for FREE upgrades

We’re going to start by asking you a few questions about your home.
The application should take about five minutes to complete.

Before you begin:

You’ll need a copy of your Enbridge Gas bill.
If you rent your home, we’ll need your landlord’s contact information.

To start, tell us a bit about yourself (1 Minute)

Are you an Enbridge Gas customer? *

What is your home's primary heat source? *

Please select one.

How did you hear about this offer? *

Please select all items that apply.

Next, a few questions about your household income (2 Minutes)

Do you receive any of the following government benefits? *

Please select all items that apply.

How many people over the age of 18 live in your home? *

Thank you! Now let's talk about your home (1 Minute)

What type of home do you live in? *

Approximately when was your home built?

Please detail the year the house was built as accurately as possible.

Do you own or rent your home? *

Great news! It looks like you may be eligible for free upgrades

Here’s what will happen next. Our program delivery agent will contact you to:

1. Walk you through next steps.
2. Answer any questions.
3. Check your proof of income.
4. Schedule a quick home energy assessment.

Enbridge Gas account number

Please enter your Enbridge Gas account number (11, 12 or 14 digits), without spaces.

First Name *

Last Name *

Street Address *

Postal Code *

City/Town/Municipality *

Please enter a City/Town/Municipality that best defines your location.

Phone *

Please enter the best phone number to contact you at.

Email Address *

Confirm Email

Please enter the best email address to contact you at.

What's the best time to reach you?

Great! Let's review legal. (1 Minute)

I give permission to Enbridge Gas and Program Delivery Agents to:

Verify income or benefits received by my household to confirm eligibility.
Conduct an energy efficiency assessment of my home at no cost to me.
Provide advice and perform energy-efficiency upgrades to my home at no cost to me.
Contact me or my case worker.
Randomly choose me to participate in a Quality Assurance/Quality Control assessment.
Use photocopies of this signed release for these purposes.
Share information about other energy saving programs that could help me.
Collect, use and disclose information about my participation in this program (including contact details, fuel consumption building type, age of home, fuel source and financial eligibility) to Enbridge Gas’ Contractors, the Ontario Energy Board and other energy conservation program operators approved by the Ontario Energy Board and the Independent Electricity System Operator for program delivery, evaluation and co-ordination purposes.

Winter-proofing Application Form

To start, tell us a bit about yourself (1 Minute)

Next, a few questions about your household income (2 Minutes)

Thank you! Now let's talk about your home (1 Minute)

Great news! It looks like you may be eligible for free upgrades

Sitemap

Contact Us