TakeCharge Greener Homes Program

Please complete this application to determine whether you may qualify for the TakeCharge Greener Homes Program. Please review the income requirements before continuing.

Personal Information and Application Security

This application requires applicant(s) to provide personal and sensitive information and should be completed and submitted by the homeowner and not by any other parties unless they are a trusted family member or impartial third party.

You are legally responsible for all information submitted in your name.

Risks of letting someone else complete your application:

• Identity theft – your personal information could be misused for unauthorised purposes.
• Incorrect or false information – could lead to application denial, legal issues, or delays.
• Loss of privacy – your sensitive data (e.g., income, address) may be exposed, shared, or stored improperly.

By continuing, you confirm that:

• You understand the importance of protecting your personal information
• All information provided is accurate and submitted by you or with your full knowledge and consent

Remember: never share passwords, banking details, or any information not explicitly requested on this application. TakeCharge will never ask for your banking details or passwords.

You must submit this form and receive approval from TakeCharge to proceed through this program.

*All fields are mandatory