RMLD - Residential Audit Request Form

Your browser either does not support JavaScript or you have JavaScript disabled. Please enable JavaScript or view this page in Text Version.

Residential Audit Request Form

Choose from the following:

Checkboxes	Checkbox Description	Checkboxes	Checkbox Description
	Central A/C		Dehumidifier
	Window A/C		Humidifier
	Heat Pump		Outdoor flood lights
	Exterior walls insulated		Medical Equipment
	Finished basement		Pool (above ground)
	Finished attic		Pool (in ground)
	Heated driveway		Pool heated
	Roof de-icing equipment		Fish tank
	Sump pump in basement		Outdoor fish pond
	Well		Jacuzzi or hot tub (inside)
	Space heaters		Jacuzzi or hot tub (outside)
	Water cooler in kitchen		2nd freezer or refrigerator remote from kitchen
	Home Office		Windows are original to home
	Requestor is owner of property

Please provide the following information:

Heating Type

Field Data

Hot water heater

Field Data

Cooking

Field Data

Upgrades done to the residence: (windows, exterior doors, insulation, heating system, central air) and dates of upgrades:

Number of floors, Number of occupants, Thermostat settings (Winter and Summer):

Number of recessed lights in home, and Number of incandescent light bulbs changed to cfls: