Home and Contact Information

This application is for existing California primary residences installing heat pump system.

Full Name

Phone *

Email *

Address

Street Address *

City *

State *

Postal Code *

Have you received any government assistance programs 2024/2025?

This is my primary residence

Yes it is

Home Eligibility Requirements

Certain conditions must be met before an assessment can be scheduled.

Is your current heating system operational?

Yes

Are attic and mechanical areas accessible?

Yes

Are there unresolved major health or safety issues ?

Yes

Electric utility provider

Last 4 of Social (This is a compliant and secure submission) *

I understand work cannot begin before program pre approval *

I understand

I authorize LivSmart to share required project information with program administrators *

I authorize