{"id":10487,"date":"2021-06-09T14:15:57","date_gmt":"2021-06-09T19:15:57","guid":{"rendered":"https:\/\/www.illinoissfa.com\/formulario-de-admision-de-ingresos\/"},"modified":"2026-04-29T17:26:11","modified_gmt":"2026-04-29T22:26:11","slug":"formulario-de-admision-de-ingresos","status":"publish","type":"page","link":"https:\/\/www.illinoissfa.com\/es\/ilsfa-income-eligibility-intake-form\/","title":{"rendered":"Formulario de admisi\u00f3n de ingresos"},"content":{"rendered":"<style>.wForm form{text-align: left;}<\/style><!-- FORM: HEAD SECTION -->\n    <meta http-equiv=\"Content-Type\" content=\"text\/html; charset=utf-8\" \/>\n    <meta name=\"referrer\" content=\"no-referrer-when-downgrade\">\n    <!-- THIS SCRIPT NEEDS TO BE LOADED FIRST BEFORE wforms.js -->\n    <script type=\"text\/javascript\" data-for=\"FA__DOMContentLoadedEventDispatch\" src=\"https:\/\/elevateenergy.tfaforms.net\/js\/FA__DOMContentLoadedEventDispatcher.js\" defer><\/script>\n        <script type=\"text\/javascript\">\n        document.addEventListener(\"FA__DOMContentLoaded\", function(){\n            const FORM_TIME_START = Math.floor((new Date).getTime()\/1000);\n            let formElement = document.getElementById(\"tfa_0\");\n            if (null === formElement) {\n                formElement = document.getElementById(\"0\");\n            }\n            let appendJsTimerElement = function(){\n                let formTimeDiff = Math.floor((new Date).getTime()\/1000) - FORM_TIME_START;\n                let cumulatedTimeElement = document.getElementById(\"tfa_dbCumulatedTime\");\n                if (null !== cumulatedTimeElement) {\n                    let cumulatedTime = parseInt(cumulatedTimeElement.value);\n                    if (null !== cumulatedTime && cumulatedTime > 0) {\n                        formTimeDiff += cumulatedTime;\n                    }\n                }\n                let jsTimeInput = document.createElement(\"input\");\n                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href=\"https:\/\/elevateenergy.tfaforms.net\/dist\/form-builder\/5.0.0\/wforms-layout.css?v=2ed20719bf766c2f554a774208e7f3ff3ce6099c\" rel=\"stylesheet\" type=\"text\/css\" \/>\n\n    <link href=\"https:\/\/elevateenergy.tfaforms.net\/uploads\/themes\/theme-36930.css\" rel=\"stylesheet\" type=\"text\/css\" \/>\n    <link href=\"https:\/\/elevateenergy.tfaforms.net\/dist\/form-builder\/5.0.0\/wforms-jsonly.css?v=2ed20719bf766c2f554a774208e7f3ff3ce6099c\" rel=\"alternate stylesheet\" title=\"This stylesheet activated by javascript\" type=\"text\/css\" \/>\n    <script type=\"text\/javascript\" src=\"https:\/\/elevateenergy.tfaforms.net\/wForms\/3.11\/js\/wforms.js?v=2ed20719bf766c2f554a774208e7f3ff3ce6099c\"><\/script>\n    <script type=\"text\/javascript\">\n        if(wFORMS.behaviors.prefill) wFORMS.behaviors.prefill.skip = true;\n    <\/script>\n    <script type=\"text\/javascript\" src=\"https:\/\/elevateenergy.tfaforms.net\/wForms\/3.11\/js\/localization-en_US.js?v=2ed20719bf766c2f554a774208e7f3ff3ce6099c\"><\/script>\n\n<!-- FORM: BODY SECTION -->\n<div class=\"wFormContainer\" >\n    <div class=\"wFormHeader\"><\/div>\n    <style type=\"text\/css\"><\/style><div class=\"\"><div class=\"wForm\" id=\"4653663-WRPR\" data-language=\"en_US\" dir=\"ltr\">\n<div class=\"codesection\" id=\"code-4653663\">\n<script>wFORMS.behaviors.paging.showTabNavigation = true;<\/script><script>\n                wFORMS.behaviors.paging.showProgressBar = true;\n            <\/script><style>\n  .wForm .field-hint-inactive .hint {\n    opacity: 1 !important;\n  }\n  .wForm .hint {\n    opacity: 1 !important;\n  }\n  .wForm .columnLayout {\n    margin-top: 0;\n  }\n  .wForm #tfa_98 option {\n    margin-top: 0;\n  }\n  .user-content .wForm textarea {\n    background: #fff url(\/theme-editor\/images\/input_bg.png) repeat-x -2px -2px;\n    border-color: #888 #ccc #ccc;\n    border-style: solid;\n    border-width: 1px;\n    border-radius: 8px 8px 0 0;\n  }\n<\/style><\/div>\n<h3 class=\"wFormTitle\" data-testid=\"form-title\" id=\"4653663-T\"><h3 data-contentid=\"4653441\" data-contenttype=\"form\" id=\"4653441-T\" class=\"wFormTitle wfContent selected\">ILSFA Income Eligibility Intake Form<\/h3><\/h3>\n<form method=\"post\" action=\"https:\/\/elevateenergy.tfaforms.net\/api_v2\/rest\/workflow\/processor\" class=\"hintsBelow labelsAbove\" id=\"4653663\" enctype=\"multipart\/form-data\">\n<div class=\"wfPage\" id=\"wfPgIndex-1\"><div class=\"section pageSection\" id=\"tfa_194\">\n<div class=\"htmlSection\" id=\"tfa_219\"><div class=\"htmlContent\" id=\"tfa_219-HTML\"><p><i><b>Please note this form takes about 10-15 minutes to complete.&nbsp;<\/b><\/i><\/p><\/div><\/div>\n<div class=\"oneField field-container-D    \" id=\"tfa_252-D\">\n<label id=\"tfa_252-L\" class=\"label preField reqMark\" for=\"tfa_252\">Are you interested in having solar on a property you own?<\/label><br><div class=\"inputWrapper\"><select aria-required=\"true\" id=\"tfa_252\" name=\"tfa_252\" title=\"Are you interested in having solar on a property you own?\" class=\"required\"><option value=\"\">Please select...<\/option>\n<option value=\"tfa_253\" id=\"tfa_253\" data-conditionals=\"#tfa_255,#tfa_179,#tfa_13,#tfa_155,#tfa_182,#tfa_175,#tfa_149,#tfa_178,#tfa_197,#tfa_198,#tfa_195,#tfa_196,#tfa_180,#tfa_218,#tfa_78\" class=\"\">Yes<\/option>\n<option value=\"tfa_254\" id=\"tfa_254\" data-conditionals=\"#tfa_264\" class=\"\">No<\/option><\/select><\/div>\n<\/div>\n<div class=\"oneField field-container-D    \" id=\"tfa_255-D\">\n<label id=\"tfa_255-L\" class=\"label preField reqMark\" for=\"tfa_255\">How many units do you have?<\/label><br><div class=\"inputWrapper\"><select aria-required=\"true\" id=\"tfa_255\" name=\"tfa_255\" data-condition=\"`#tfa_253`\" title=\"How many units do you have?\" class=\"required\"><option value=\"\">Please select...<\/option>\n<option value=\"tfa_256\" id=\"tfa_256\" data-conditionals=\"#tfa_179,#tfa_13,#tfa_155,#tfa_182,#tfa_175,#tfa_149,#tfa_178,#tfa_197,#tfa_198,#tfa_195,#tfa_196,#tfa_180,#tfa_218\" class=\"\">1<\/option>\n<option value=\"tfa_257\" id=\"tfa_257\" data-conditionals=\"#tfa_264,#tfa_155\" class=\"\">2<\/option>\n<option value=\"tfa_258\" id=\"tfa_258\" data-conditionals=\"#tfa_264,#tfa_155\" class=\"\">3<\/option>\n<option value=\"tfa_259\" id=\"tfa_259\" data-conditionals=\"#tfa_264,#tfa_155\" class=\"\">4<\/option>\n<option value=\"tfa_299\" id=\"tfa_299\" data-conditionals=\"#tfa_212,#tfa_264\" class=\"\">5+<\/option><\/select><\/div>\n<\/div>\n<div class=\"oneField field-container-D    \" id=\"tfa_13-D\">\n<label id=\"tfa_13-L\" class=\"label preField reqMark\" for=\"tfa_13\">Do you live in this building?<\/label><br><div class=\"inputWrapper\"><select aria-required=\"true\" id=\"tfa_13\" name=\"tfa_13\" data-condition=\"`#tfa_253` AND `#tfa_256`\" title=\"Do you live in this building?\" class=\"required\"><option value=\"\">Please select...<\/option>\n<option value=\"tfa_14\" id=\"tfa_14\" data-conditionals=\"#tfa_179,#tfa_182,#tfa_175,#tfa_149,#tfa_178,#tfa_197,#tfa_198,#tfa_195,#tfa_196,#tfa_180,#tfa_218\" class=\"\">Yes<\/option>\n<option value=\"tfa_15\" id=\"tfa_15\" data-conditionals=\"#tfa_224,#tfa_264,#tfa_155\" class=\"\">No<\/option><\/select><\/div>\n<\/div>\n<fieldset id=\"tfa_212\" class=\"section\" data-condition=\"`#tfa_299`\">\n<legend id=\"tfa_212-L\"><b><u>Notice<br><\/u><\/b><\/legend>\n<div class=\"htmlSection\" id=\"tfa_213\"><div class=\"htmlContent\" id=\"tfa_213-HTML\">Income eligibility via this website is not available for buildings with five or more units. If you are&nbsp; interested in income eligibility for a 5+ unit building please contact an<b> <\/b><a target=\"_blank\" href=\"https:\/\/www.illinoissfa.com\/vendor-directory\/\"><u><b>Approved&nbsp; Vendor<\/b><\/u><\/a>. If you are interested in subscribing to a community solar project you can find a list of community projects <a target=\"_blank\" href=\"https:\/\/www.illinoissfa.com\/announcements\/2020\/10\/low-income-community-solar-subscriber-directory\/\"><b><u>here<\/u><\/b><\/a>. For additional information, please contact the Program Administrator at 1-888-970-ISFA<\/div><\/div>\n<\/fieldset>\n<fieldset id=\"tfa_155\" class=\"section\" data-condition=\"(`#tfa_253` AND (`#tfa_257` OR `#tfa_258` OR `#tfa_259`)) OR (`#tfa_253` AND (`#tfa_256` AND `#tfa_15`))\">\n<legend id=\"tfa_155-L\"><b><u>Notice<br><\/u><\/b><\/legend>\n<div class=\"htmlSection\" id=\"tfa_156\"><div class=\"htmlContent\" id=\"tfa_156-HTML\">Income eligibility via this website is currently limited to owner occupied single family homeowners and those interested in participating in community solar. If you are interested in income eligibility for a 2-4 unit building, or a building you do not live in, please call 1-888-970-ISFA or fill out the form below to receive a follow up call or email. If you would like to proceed as an individual, you can complete your income eligibility for a <a target=\"_blank\" href=\"https:\/\/www.illinoissfa.com\/app\/uploads\/2020\/12\/CS-Offers.pdf\">community solar project<\/a>.<\/div><\/div>\n<\/fieldset>\n<fieldset id=\"tfa_264\" class=\"section\" data-condition=\"`#tfa_254` OR `#tfa_257` OR `#tfa_258` OR `#tfa_259` OR `#tfa_15` OR `#tfa_299`\">\n<legend id=\"tfa_264-L\"><b>Community Solar<\/b><\/legend>\n<div class=\"htmlSection\" id=\"tfa_265\"><div class=\"htmlContent\" id=\"tfa_265-HTML\">What is community solar? <br><br>Community solar allows eligible participants to benefit from solar energy without installing panels on their own properties. This option is available for renters and homeowners that have their own electricity account. Through community solar, you can subscribe to a portion of a solar system that is located offsite and receive credits on your electricity bill. Credits are based on the electricity generated by the solar system. View the Department of Energy\u2019s <a target=\"_blank\" href=\"https:\/\/www.youtube.com\/watch?v=ce4nHVN45Zs\">quick video<\/a> on community solar.<\/div><\/div>\n<div class=\"oneField field-container-D    \" id=\"tfa_266-D\" role=\"radiogroup\" aria-labelledby=\"tfa_266-L\" data-tfa-labelledby=\"-L tfa_266-L\">\n<label id=\"tfa_266-L\" class=\"label preField reqMark\" data-tfa-check-label-for=\"tfa_266\">Are you interested in participating in community solar? <\/label><br><div class=\"inputWrapper\"><span id=\"tfa_266\" class=\"choices horizontal required\"><span class=\"oneChoice\"><input type=\"radio\" value=\"tfa_267\" class=\"\" id=\"tfa_267\" name=\"tfa_266\" aria-required=\"true\" data-conditionals=\"#tfa_295,#tfa_175,#tfa_149,#tfa_178,#tfa_197,#tfa_198,#tfa_196,#tfa_303,#tfa_78\" aria-labelledby=\"tfa_267-L\" data-tfa-labelledby=\"tfa_266-L tfa_267-L\" data-tfa-parent-id=\"tfa_266\"><label class=\"label postField\" id=\"tfa_267-L\" for=\"tfa_267\"><span class=\"input-radio-faux\"><\/span>Yes<\/label><\/span><span class=\"oneChoice\"><input type=\"radio\" value=\"tfa_268\" class=\"\" id=\"tfa_268\" name=\"tfa_266\" aria-required=\"true\" data-conditionals=\"#tfa_269\" aria-labelledby=\"tfa_268-L\" data-tfa-labelledby=\"tfa_266-L tfa_268-L\" data-tfa-parent-id=\"tfa_266\"><label class=\"label postField\" id=\"tfa_268-L\" for=\"tfa_268\"><span class=\"input-radio-faux\"><\/span>No<\/label><\/span><\/span><\/div>\n<\/div>\n<\/fieldset>\n<fieldset id=\"tfa_269\" class=\"section\" data-condition=\"`#tfa_268`\">\n<legend id=\"tfa_269-L\"><b><u>Notice<\/u><\/b><\/legend>\n<div class=\"htmlSection\" id=\"tfa_270\"><div class=\"htmlContent\" id=\"tfa_270-HTML\">Based on the building characteristics you provided and stated program interests you do not qualify for income pre-qualification through the website. You may still qualify for Illinois Solar for All by working directly with an Approved Vendor. Fill out the information below for follow-up information or call us directly for further assistance at 1-888-970-ISFA.<\/div><\/div>\n<\/fieldset>\n<fieldset id=\"tfa_157\" class=\"section\">\n<legend id=\"tfa_157-L\"><b>Contact Information<\/b><\/legend>\n<div id=\"tfa_158\" class=\"section inline group\">\n<div class=\"oneField field-container-D    \" id=\"tfa_32-D\">\n<label id=\"tfa_32-L\" class=\"label preField reqMark\" for=\"tfa_32\">First Name<\/label><br><div class=\"inputWrapper\"><input aria-required=\"true\" type=\"text\" id=\"tfa_32\" name=\"tfa_32\" value=\"\" title=\"First Name\" class=\"required\"><\/div>\n<\/div>\n<div class=\"oneField field-container-D    \" id=\"tfa_33-D\">\n<label id=\"tfa_33-L\" class=\"label preField reqMark\" for=\"tfa_33\">Last Name<\/label><br><div class=\"inputWrapper\"><input aria-required=\"true\" type=\"text\" id=\"tfa_33\" name=\"tfa_33\" value=\"\" title=\"Last Name\" class=\"required\"><\/div>\n<\/div>\n<\/div>\n<div id=\"tfa_173\" class=\"section inline group\">\n<div class=\"oneField field-container-D    \" id=\"tfa_121-D\">\n<label id=\"tfa_121-L\" class=\"label preField reqMark\" for=\"tfa_121\">Phone<\/label><br><div class=\"inputWrapper\"><input aria-required=\"true\" type=\"text\" id=\"tfa_121\" name=\"tfa_121\" value=\"\" maskMaxLength=\"13\" autoformat=\"###-###-####\" title=\"Phone\" class=\"required\"><\/div>\n<\/div>\n<div class=\"oneField field-container-D    \" id=\"tfa_120-D\">\n<label id=\"tfa_120-L\" class=\"label preField reqMark\" for=\"tfa_120\">Email<\/label><br><div class=\"inputWrapper\"><input aria-required=\"true\" type=\"text\" id=\"tfa_120\" name=\"tfa_120\" value=\"\" title=\"Email\" class=\"validate-email required\"><\/div>\n<\/div>\n<\/div>\n<\/fieldset>\n<fieldset id=\"tfa_124\" class=\"section\">\n<legend id=\"tfa_124-L\"><b>Address<\/b><\/legend>\n<div class=\"htmlSection\" id=\"tfa_300\"><div class=\"htmlContent\" id=\"tfa_300-HTML\">If you are interested in adding solar to a building you live in or own, please provide the address below. If you are interested in community solar, please provide your home address. <\/div><\/div>\n<\/fieldset>\n<div id=\"tfa_306\" class=\"section column group\"><table class=\"columnLayout\">\n<tr>\n<td><div class=\"oneField field-container-D    \" id=\"tfa_125-D\">\n<label id=\"tfa_125-L\" class=\"label preField reqMark\" for=\"tfa_125\">Street Address<\/label><br><div class=\"inputWrapper\"><input aria-required=\"true\" type=\"text\" id=\"tfa_125\" name=\"tfa_125\" value=\"\" title=\"Street Address\" class=\"required\"><\/div>\n<\/div><\/td>\n<td><div class=\"oneField field-container-D    \" id=\"tfa_286-D\">\n<label id=\"tfa_286-L\" class=\"label preField \" for=\"tfa_286\">Unit Number<\/label><br><div class=\"inputWrapper\"><input type=\"text\" id=\"tfa_286\" name=\"tfa_286\" value=\"\" title=\"Unit Number\" class=\"\"><\/div>\n<\/div><\/td>\n<\/tr>\n<tr>\n<td><div class=\"oneField field-container-D    \" id=\"tfa_126-D\">\n<label id=\"tfa_126-L\" class=\"label preField reqMark\" for=\"tfa_126\">City<\/label><br><div class=\"inputWrapper\"><input aria-required=\"true\" type=\"text\" id=\"tfa_126\" name=\"tfa_126\" value=\"\" title=\"City\" class=\"required\"><\/div>\n<\/div><\/td>\n<td><div class=\"oneField field-container-D    \" id=\"tfa_127-D\">\n<label id=\"tfa_127-L\" class=\"label preField reqMark\" for=\"tfa_127\">State<\/label><br><div class=\"inputWrapper\">\n<input aria-required=\"true\" type=\"text\" id=\"tfa_127\" name=\"tfa_127\" value=\"IL\" default=\"IL\" aria-describedby=\"tfa_127-HH\" title=\"State\" class=\"required\"><span class=\"field-hint-inactive\" id=\"tfa_127-H\"><span id=\"tfa_127-HH\" class=\"hint\">This program is for Illinois residents only.<\/span><\/span>\n<\/div>\n<\/div><\/td>\n<\/tr>\n<tr>\n<td><div class=\"oneField field-container-D    \" id=\"tfa_128-D\">\n<label id=\"tfa_128-L\" class=\"label preField reqMark\" for=\"tfa_128\">Zip Code<\/label><br><div class=\"inputWrapper\"><input aria-required=\"true\" type=\"text\" id=\"tfa_128\" name=\"tfa_128\" value=\"\" title=\"Zip Code\" class=\"required\"><\/div>\n<\/div><\/td>\n<td><div class=\"oneField field-container-D    \" id=\"tfa_185-D\">\n<label id=\"tfa_185-L\" class=\"label preField reqMark\" for=\"tfa_185\">County<\/label><br><div class=\"inputWrapper\">\n<input aria-required=\"true\" type=\"text\" id=\"tfa_185\" name=\"tfa_185\" value=\"\" aria-describedby=\"tfa_185-HH\" title=\"County\" class=\"required\"><span class=\"field-hint-inactive\" id=\"tfa_185-H\"><span id=\"tfa_185-HH\" class=\"hint\">For example, Cook, Macon, Knox.<\/span><\/span>\n<\/div>\n<\/div><\/td>\n<\/tr>\n<\/table><\/div>\n<div id=\"tfa_224\" class=\"section group\" data-condition=\"`#tfa_15`\"><div class=\"htmlSection\" id=\"tfa_223\"><div class=\"htmlContent\" id=\"tfa_223-HTML\"><p style=\"text-align:center;\"><i><b>Use the submit button below to receive a follow-up call with more information.<\/b><\/i><\/p><\/div><\/div><\/div>\n<\/div><\/div>\n<div class=\"wfPage\" id=\"wfPgIndex-2\"><div class=\"section pageSection\" id=\"tfa_195\" data-condition=\"`#tfa_253` AND `#tfa_256` AND `#tfa_14`\"><fieldset id=\"tfa_182\" class=\"section\" data-condition=\"`#tfa_14` AND `#tfa_256` AND `#tfa_253`\">\n<legend id=\"tfa_182-L\"><b><u>Property Characteristics<\/u><\/b><\/legend>\n<div class=\"htmlSection\" id=\"tfa_35\"><div class=\"htmlContent\" id=\"tfa_35-HTML\"><p>Please answer the following questions to the best of your ability. Your responses will be a helpful first step in determining whether your home or building is a good fit for solar.<\/p><\/div><\/div>\n<fieldset id=\"tfa_34\" class=\"section\">\n<legend id=\"tfa_34-L\"><b>Electrical Information<\/b><\/legend>\n<div class=\"oneField field-container-D    \" id=\"tfa_36-D\">\n<label id=\"tfa_36-L\" class=\"label preField reqMark\" for=\"tfa_36\">Electric Utility<\/label><br><div class=\"inputWrapper\"><select aria-required=\"true\" id=\"tfa_36\" name=\"tfa_36\" title=\"Electric Utility\" class=\"required\"><option value=\"\">Please select...<\/option>\n<option value=\"tfa_37\" id=\"tfa_37\" class=\"\">Ameren<\/option>\n<option value=\"tfa_38\" id=\"tfa_38\" class=\"\">ComEd<\/option>\n<option value=\"tfa_39\" id=\"tfa_39\" class=\"\">Mid-American<\/option>\n<option value=\"tfa_186\" id=\"tfa_186\" class=\"\">Mt. Carmel<\/option>\n<option value=\"tfa_40\" id=\"tfa_40\" data-conditionals=\"#tfa_225\" class=\"\">Municipal utility<\/option>\n<option value=\"tfa_41\" id=\"tfa_41\" data-conditionals=\"#tfa_225\" class=\"\">Rural electric cooperative<\/option>\n<option value=\"tfa_228\" id=\"tfa_228\" data-conditionals=\"#tfa_229\" class=\"\">Other<\/option><\/select><\/div>\n<\/div>\n<div class=\"oneField field-container-D    \" id=\"tfa_229-D\">\n<label id=\"tfa_229-L\" class=\"label preField \" for=\"tfa_229\">Other&nbsp; Electric Utility<\/label><br><div class=\"inputWrapper\"><input type=\"text\" id=\"tfa_229\" name=\"tfa_229\" value=\"\" data-condition=\"`#tfa_228`\" title=\"Other  Electric Utility\" class=\"\"><\/div>\n<\/div>\n<div class=\"oneField field-container-D    \" id=\"tfa_225-D\">\n<label id=\"tfa_225-L\" class=\"label preField reqMark\" for=\"tfa_225\">Please provide the name of your electric utility provider below:<\/label><br><div class=\"inputWrapper\"><textarea aria-required=\"true\" id=\"tfa_225\" name=\"tfa_225\" data-condition=\"`#tfa_40` OR `#tfa_41`\" title=\"Please provide the name of your electric utility provider below:\" class=\"required\"><\/textarea><\/div>\n<\/div>\n<div class=\"oneField field-container-D    \" id=\"tfa_16-D\">\n<label id=\"tfa_16-L\" class=\"label preField reqMark\" for=\"tfa_16\">Do you have&nbsp;a fuse box (cartridge or screw-in fuses that need to be replaced when blown) or&nbsp;an electrical panel with breakers (switches that can be turned on or off and can be reset when \u201ctripped\u201d)? See images below for assistance.<\/label><br><div class=\"inputWrapper\"><select aria-required=\"true\" id=\"tfa_16\" name=\"tfa_16\" title=\"Do you have a fuse box (cartridge or screw-in fuses that need to be replaced when blown) or an electrical panel with breakers (switches that can be turned on or off and can be reset when \u201ctripped\u201d)? See images below for assistance.\" class=\"required\"><option value=\"\">Please select...<\/option>\n<option value=\"tfa_18\" id=\"tfa_18\" class=\"\">Fuse box<\/option>\n<option value=\"tfa_17\" id=\"tfa_17\" class=\"\">Electrical panel with breakers<\/option><\/select><\/div>\n<\/div>\n<fieldset id=\"tfa_116\" class=\"section column\">\n<legend id=\"tfa_116-L\"><b>Example<\/b><\/legend>\n<table class=\"columnLayout\">\n<tr>\n<td><div class=\"htmlSection\" id=\"tfa_204\"><div class=\"htmlContent\" id=\"tfa_204-HTML\"><b>Electrical Fuse Box<\/b><\/div><\/div><\/td>\n<td><div class=\"htmlSection\" id=\"tfa_200\"><div class=\"htmlContent\" id=\"tfa_200-HTML\"><b>Electrical Panel With Breakers<\/b><\/div><\/div><\/td>\n<\/tr>\n<tr>\n<td><div class=\"htmlSection\" id=\"tfa_117\"><div class=\"htmlContent\" id=\"tfa_117-HTML\"><img decoding=\"async\" src=\"\/\/elevateenergy.tfaforms.net\/forms\/get_image\/1\/gDuWY9jr8YIXOz8H7TADlEpf3jYpibtXGxOx6QKkI5DP79gxtPK6tByuVtTg2vQf-fusebox.png\" alt=\"fuse box\" style=\"max-width: 100%;width: 100%;height: 100%;\"><\/div><\/div><\/td>\n<td><div class=\"htmlSection\" id=\"tfa_118\"><div class=\"htmlContent\" id=\"tfa_118-HTML\"><div style=\"text-align: left;\"><img decoding=\"async\" src=\"https:\/\/elevateenergy.tfaforms.net\/forms\/get_image\/1\/8jmYfSlo3TOaiXnT9qQQQa17Stsz4UEldtUKtuWvRnNrXpKPNkwjwraZQTR9wnk0-ElectricalPanelwithbreakers.png\" alt=\"Electrical Panel with breakers\" style=\"max-width: 100%;width: 100%;height: 100%;\"><\/div><\/div><\/div><\/td>\n<\/tr>\n<\/table>\n<\/fieldset>\n<\/fieldset>\n<fieldset id=\"tfa_119\" class=\"section\">\n<legend id=\"tfa_119-L\"><b>Solar Panel Location<\/b><\/legend>\n<div class=\"htmlSection\" id=\"tfa_42\"><div class=\"htmlContent\" id=\"tfa_42-HTML\">\n\n<p class=\"MsoNormal\"><\/p>The solar panels can be located on your roof or in your yard. Please answer the questions below to the best of your ability. <\/div><\/div>\n<div class=\"oneField field-container-D    \" id=\"tfa_19-D\" role=\"group\" aria-labelledby=\"tfa_19-L\" data-tfa-labelledby=\"-L tfa_19-L\">\n<label id=\"tfa_19-L\" class=\"label preField reqMark\" data-tfa-check-label-for=\"tfa_19\" aria-label=\"Where are you interested in installing the solar panels?  \u00a0 required\">Where are you interested in installing the solar panels? <\/label><br><div class=\"inputWrapper\">\n<span id=\"tfa_19\" class=\"choices vertical required\"><span class=\"oneChoice\"><input type=\"checkbox\" value=\"tfa_20\" class=\"\" id=\"tfa_20\" name=\"tfa_20\" data-conditionals=\"#tfa_22\" aria-labelledby=\"tfa_20-L\" data-tfa-labelledby=\"tfa_19-L tfa_20-L\" data-tfa-parent-id=\"tfa_19\" aria-describedby=\"tfa_19-HH\"><label class=\"label postField\" id=\"tfa_20-L\" for=\"tfa_20\"><span class=\"input-checkbox-faux\"><\/span>I'm interested in installing solar on my roof<\/label><\/span><span class=\"oneChoice\"><input type=\"checkbox\" value=\"tfa_21\" class=\"\" id=\"tfa_21\" name=\"tfa_21\" data-conditionals=\"#tfa_26\" aria-labelledby=\"tfa_21-L\" data-tfa-labelledby=\"tfa_19-L tfa_21-L\" data-tfa-parent-id=\"tfa_19\" aria-describedby=\"tfa_19-HH\"><label class=\"label postField\" id=\"tfa_21-L\" for=\"tfa_21\"><span class=\"input-checkbox-faux\"><\/span>I'm interested in installing a solar system in my yard or field on my property<\/label><\/span><\/span><span class=\"field-hint-inactive\" id=\"tfa_19-H\"><span id=\"tfa_19-HH\" class=\"hint\">Note, you can select more than one option if you\u2019re not sure whether roof or ground-mounted solar is better suited for your home or building. Select those that apply.&nbsp;&nbsp;<\/span><\/span>\n<\/div>\n<\/div>\n<div class=\"oneField field-container-D    \" id=\"tfa_22-D\">\n<label id=\"tfa_22-L\" class=\"label preField reqMark\" for=\"tfa_22\">Roofs must be in good condition to be suitable to host solar systems.&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;<br>Is the existing roof on your home or building in good condition, with at least 15 years expected before it needs to be replaced? <\/label><br><div class=\"inputWrapper\"><select aria-required=\"true\" id=\"tfa_22\" name=\"tfa_22\" data-condition=\"`#tfa_20`\" title=\"Roofs must be in good condition to be suitable to host solar systems.                         Is the existing roof on your home or building in good condition, with at least 15 years expected before it needs to be replaced? \" class=\"required\"><option value=\"\">Please select...<\/option>\n<option value=\"tfa_23\" id=\"tfa_23\" class=\"\">Yes<\/option>\n<option value=\"tfa_24\" id=\"tfa_24\" data-conditionals=\"#tfa_25\" class=\"\">No<\/option><\/select><\/div>\n<\/div>\n<div class=\"oneField field-container-D    \" id=\"tfa_25-D\">\n<label id=\"tfa_25-L\" class=\"label preField reqMark\" for=\"tfa_25\">Please describe the condition of your roof<\/label><br><div class=\"inputWrapper\"><textarea aria-required=\"true\" id=\"tfa_25\" name=\"tfa_25\" data-condition=\"`#tfa_24`\" title=\"Please describe the condition of your roof\" class=\"required\"><\/textarea><\/div>\n<\/div>\n<div class=\"oneField field-container-D    \" id=\"tfa_26-D\">\n<label id=\"tfa_26-L\" class=\"label preField reqMark\" for=\"tfa_26\">The system will need to be located where it is unlikely to be flooded. Has your property flooded in the last 5 years? <\/label><br><div class=\"inputWrapper\"><select aria-required=\"true\" id=\"tfa_26\" name=\"tfa_26\" data-condition=\"`#tfa_21`\" title=\"The system will need to be located where it is unlikely to be flooded. Has your property flooded in the last 5 years? \" class=\"required\"><option value=\"\">Please select...<\/option>\n<option value=\"tfa_27\" id=\"tfa_27\" class=\"\">Yes<\/option>\n<option value=\"tfa_28\" id=\"tfa_28\" class=\"\">No<\/option><\/select><\/div>\n<\/div>\n<div class=\"htmlSection\" id=\"tfa_43\"><div class=\"htmlContent\" id=\"tfa_43-HTML\"><p>Please note a complete site assessment conducted by an ILSFA Approved Vendor is required to determine if your site is suitable for a solar system. <\/p><\/div><\/div>\n<\/fieldset>\n<\/fieldset><\/div><\/div>\n<div class=\"wfPage\" id=\"wfPgIndex-3\"><div class=\"section pageSection\" id=\"tfa_196\" data-condition=\"`#tfa_267` OR (`#tfa_253` AND `#tfa_256` AND `#tfa_14`)\"><fieldset id=\"tfa_175\" class=\"section\" data-condition=\"(`#tfa_253` AND `#tfa_256` AND `#tfa_14`) OR `#tfa_267`\">\n<legend id=\"tfa_175-L\"><b>Income Eligibility Documentation Information<\/b><\/legend>\n<fieldset id=\"tfa_218\" class=\"section\" data-condition=\"`#tfa_253` AND `#tfa_256` AND `#tfa_14`\"><div class=\"htmlSection\" id=\"tfa_183\"><div class=\"htmlContent\" id=\"tfa_183-HTML\"><p>There are three options to choose from. Members over the age of 18, of the household may use different options to determine income eligibility. For example, one member may provide documentation from Medicaid from Option 1 and additional members may use income information from a credit reporting agency in Option 2. Please keep in mind the programs listed under Option 1, except Medicaid, are household benefits and do not require the use of additional options as proof of income-eligibility for other members of the household.<\/p><p><br><\/p><p><b>Option 1:<\/b><\/p><p><b>&nbsp; &nbsp; a: Household proof of enrollment in an income-eligible program<\/b><\/p><p><b>&nbsp; &nbsp; b: Medicaid&nbsp;<\/b><\/p><p><b>Option 2: Income verification through a credit reporting agency<\/b><\/p><p><b>Option 3: Income Affidavit<\/b> - This can only be used in limited circumstances and cannot be used if you are able to utilize Option 1a, Option 1b, or Option 2.<\/p><p><br><\/p><p><b><a target=\"_blank\" href=\"https:\/\/www.illinoissfa.com\/income-eligibility-options-and-requirements\/\">Click here for more details on each income eligibility option and requirements.<\/a> For household members over the age of 18 you will select the income eligibility option and documentation in the section below.&nbsp;<\/b><\/p><p><br><\/p><p><b>Any sensitive personal information must be covered or concealed before submitting. <\/b>Physically covering information with a piece of paper, on a copy of the document is an example of how to conceal information.<\/p><p><br><\/p><p><b><u>Do not alter your original documents.<\/u><\/b><\/p><p><br><\/p><p>Examples of sensitive personal information include social security number, driver\u2019s license number, taxpayer ID number, patient ID number, financial account number, or credit card numbers.&nbsp; Documentation sent with visible sensitive personal information will be immediately deleted or destroyed to protect your privacy and a corrected copy will be requested.<\/p><p><br><\/p><p>Documentation must be issued by the program and include the program name, recipient name and address, and date issued.<\/p><\/div><\/div><\/fieldset>\n<fieldset id=\"tfa_303\" class=\"section\" data-condition=\"`#tfa_267`\"><div class=\"htmlSection\" id=\"tfa_304\"><div class=\"htmlContent\" id=\"tfa_304-HTML\"><p>There are four options to choose from. Members over the age of 18, of the household may use different options to determine income eligibility. For example, one member may provide documentation from Medicaid from Option 2 and additional members may use income information from a credit reporting agency in Option 3. Please keep in mind the programs listed under Option 2, except Medicaid, are household benefits and do not require the use of additional options as proof of income-eligibility for other members of the household.<\/p><p><\/p><b>&nbsp;<\/b><p><span style=\"font-weight: 700;\">Option 1:&nbsp;Property is located in a Low Income Census Tract (<a target=\"_blank\" href=\"https:\/\/elevate.maps.arcgis.com\/apps\/webappviewer\/index.html?id=2f1c6292305145088113f050e85af4e1\"><\/a><a target=\"_blank\" href=\"https:\/\/elevate.maps.arcgis.com\/apps\/webappviewer\/index.html?id=c1949defae184d7a9d41164ddc135d9e\">Click here to see if you live in a Low Income Census Tract<\/a>.)<\/span><\/p><p><b>Option 2:<\/b><\/p><p><b>&nbsp; &nbsp; a: Household proof of enrollment in an income-eligible program<\/b><\/p><p><b>&nbsp; &nbsp; b: Medicaid&nbsp;<\/b><\/p><p><b>Option 3: Income verification through a credit reporting agency<\/b><\/p><p><b>Option 4: Income Affidavit<\/b> - This can only be used in limited circumstances and cannot be used if you are able to utilize Option 1, Option 2a, Option 2b, or Option 3.<\/p><p><br><\/p><p><b><a target=\"_blank\" href=\"https:\/\/www.illinoissfa.com\/income-eligibility-options-and-requirements\/\">Click here for more details on each income eligibility option and requirements.<\/a> For household members over the age of 18, you will select the income eligibility option and documentation in the section below.&nbsp;<\/b><\/p><p><br><\/p><p><b>Any sensitive personal information must be covered or concealed before submitting. <\/b>Physically covering information with a piece of paper, on a copy of the document is an example of how to conceal information.<\/p><p><br><\/p><p><b><u>Do not alter your original documents.<\/u><\/b><\/p><p><br><\/p><p>Examples of sensitive personal information include social security number, driver\u2019s license number, taxpayer ID number, patient ID number, financial account number, or credit card numbers.&nbsp; Documentation sent with visible sensitive personal information will be immediately deleted or destroyed to protect your privacy and a corrected copy will be requested.<\/p><p><br><\/p><p>Documentation must be issued by the program and include the program name, recipient name and address, and date issued.<\/p><\/div><\/div><\/fieldset>\n<fieldset id=\"tfa_217\" class=\"section\">\n<legend id=\"tfa_217-L\"><b><u>Income Eligibility Documentation of ALL Household Members<\/u><\/b><\/legend>\n<fieldset id=\"tfa_67\" class=\"repeat section\" data-repeatlabel=\"Click here to Add Additional Household Members\">\n<div id=\"tfa_71\" class=\"section inline group\">\n<div class=\"htmlSection\" id=\"tfa_177\"><div class=\"htmlContent\" id=\"tfa_177-HTML\"><p><span style=\"font-weight: 700;\">Please list the name, month and year of birth, and annual income for EACH household member. Use the \"Add Household Member\" button to add a person to your household.&nbsp;<\/span><\/p><p><br><\/p><p>Household size and annual income are used to determine eligibility. Income refers to gross income or pretax income. This includes household members 18 or under.&nbsp;If a household member has no income, please enter \"0\" for their annual income.<\/p><\/div><\/div>\n<div class=\"oneField field-container-D    \" id=\"tfa_69-D\">\n<label id=\"tfa_69-L\" class=\"label preField reqMark\" for=\"tfa_69\">Resident First Name<\/label><br><div class=\"inputWrapper\"><input aria-required=\"true\" type=\"text\" id=\"tfa_69\" name=\"tfa_69\" value=\"\" title=\"Resident First Name\" class=\"required\"><\/div>\n<\/div>\n<div class=\"oneField field-container-D    \" id=\"tfa_70-D\">\n<label id=\"tfa_70-L\" class=\"label preField reqMark\" for=\"tfa_70\">Resident Last Name<\/label><br><div class=\"inputWrapper\"><input aria-required=\"true\" type=\"text\" id=\"tfa_70\" name=\"tfa_70\" value=\"\" title=\"Resident Last Name\" class=\"required\"><\/div>\n<\/div>\n<\/div>\n<div id=\"tfa_191\" class=\"section inline group\"><div class=\"oneField field-container-D    \" id=\"tfa_184-D\">\n<label id=\"tfa_184-L\" class=\"label preField reqMark\" for=\"tfa_184\">Birth Month &amp; Year (Format: MM\/YYYY)<\/label><br><div class=\"inputWrapper\"><input aria-required=\"true\" type=\"text\" id=\"tfa_184\" name=\"tfa_184\" value=\"\" maxlength=\"7\" title=\"Birth Month &amp; Year (Format: MM\/YYYY)\" class=\"required\"><\/div>\n<\/div><\/div>\n<div class=\"oneField field-container-D    \" id=\"tfa_75-D\">\n<label id=\"tfa_75-L\" class=\"label preField reqMark\" for=\"tfa_75\">Is this household member over 18?<\/label><br><div class=\"inputWrapper\"><select aria-required=\"true\" id=\"tfa_75\" name=\"tfa_75\" title=\"Is this household member over 18?\" class=\"calc-overunder required\"><option value=\"\">Please select...<\/option>\n<option value=\"tfa_76\" id=\"tfa_76\" data-conditionals=\"#tfa_142,#tfa_78,#tfa_315\" class=\"\">Yes<\/option>\n<option value=\"tfa_77\" id=\"tfa_77\" data-conditionals=\"#tfa_316\" class=\"\">No<\/option><\/select><\/div>\n<\/div>\n<div class=\"oneField field-container-D    \" id=\"tfa_78-D\">\n<label id=\"tfa_78-L\" class=\"label preField reqMark\" for=\"tfa_78\">Resident Income Verification Method<\/label><br><div class=\"inputWrapper\"><select aria-required=\"true\" id=\"tfa_78\" name=\"tfa_78\" data-condition=\"`#tfa_76` AND (`#tfa_253` OR `#tfa_267`)\" title=\"Resident Income Verification Method\" class=\"required\"><option value=\"\">Please select...<\/option>\n<option value=\"tfa_150\" id=\"tfa_150\" data-conditionals=\"#tfa_187\" class=\"\">Option 1a: Household proof of enrollment in an income-eligible program<\/option>\n<option value=\"tfa_79\" id=\"tfa_79\" data-conditionals=\"#tfa_187\" class=\"\">Option 1b: Medicaid<\/option>\n<option value=\"tfa_80\" id=\"tfa_80\" data-conditionals=\"#tfa_226\" class=\"\">Option 2: Income verification through a credit reporting agency<\/option>\n<option value=\"tfa_81\" id=\"tfa_81\" data-conditionals=\"#tfa_214,#tfa_82\" class=\"\">Option 3: Income Affidavit<\/option>\n<option value=\"tfa_305\" id=\"tfa_305\" class=\"\">Option 4: Property is located in a Low Income Census Tract (only available for those interested in Community Solar)<\/option><\/select><\/div>\n<\/div>\n<fieldset id=\"tfa_226\" class=\"section\" data-condition=\"`#tfa_80`\"><div class=\"htmlSection\" id=\"tfa_227\"><div class=\"htmlContent\" id=\"tfa_227-HTML\"><p>After this form is submitted, you will receive an email from the Program Administrator with instructions to collect your personal information to submit to a credit reporting agency.<\/p><\/div><\/div><\/fieldset>\n<fieldset id=\"tfa_214\" class=\"section\" data-condition=\"`#tfa_81`\"><div class=\"htmlSection\" id=\"tfa_215\"><div class=\"htmlContent\" id=\"tfa_215-HTML\"><p>By selecting Income Affidavit, I affirm that the information I provided is true, complete and correct to the best of my knowledge and belief and is made in good faith. I also understand that the information I am providing is subject to verification<\/p><\/div><\/div><\/fieldset>\n<div class=\"oneField field-container-D    \" id=\"tfa_187-D\">\n<label id=\"tfa_187-L\" class=\"label preField reqMark\" for=\"tfa_187\">How would you like to submit your documentation?<\/label><br><div class=\"inputWrapper\"><select aria-required=\"true\" id=\"tfa_187\" name=\"tfa_187\" data-condition=\"`#tfa_150` OR `#tfa_79`\" title=\"How would you like to submit your documentation?\" class=\"required\"><option value=\"\">Please select...<\/option>\n<option value=\"tfa_188\" id=\"tfa_188\" data-conditionals=\"#tfa_172\" class=\"\">I would like to upload my documentation now. <\/option>\n<option value=\"tfa_189\" id=\"tfa_189\" data-conditionals=\"#tfa_193\" class=\"\">I would like to mail in my documentation.<\/option><\/select><\/div>\n<\/div>\n<div id=\"tfa_192\" class=\"section group\"><fieldset id=\"tfa_193\" class=\"section\" data-condition=\"`#tfa_189`\"><div class=\"htmlSection\" id=\"tfa_190\"><div class=\"htmlContent\" id=\"tfa_190-HTML\">Mail copies of your documentation to:<br>\nElevate - Illinois Solar for All<br>\n322 S Green St., Suite 300<br>\nChicago, IL 60607<br>\n<br>\nDo NOT mail original copies.<\/div><\/div><\/fieldset><\/div>\n<div class=\"oneField field-container-D    \" id=\"tfa_172-D\">\n<label id=\"tfa_172-L\" class=\"label preField reqMark\" for=\"tfa_172\">Upload Income Verification Documentation<\/label><br><div class=\"inputWrapper\"><input type=\"file\" aria-required=\"true\" id=\"tfa_172\" name=\"tfa_172\" size=\"\" data-condition=\"`#tfa_188`\" title=\"Upload Income Verification Documentation\" class=\"required\"><\/div>\n<\/div>\n<div class=\"oneField field-container-D    \" id=\"tfa_82-D\">\n<label id=\"tfa_82-L\" class=\"label preField reqMark\" for=\"tfa_82\">I attest to the fact that I have received:<\/label><br><div class=\"inputWrapper\"><select aria-required=\"true\" id=\"tfa_82\" name=\"tfa_82\" data-condition=\"`#tfa_81`\" title=\"I attest to the fact that I have received:\" class=\"required\"><option value=\"\">Please select...<\/option>\n<option value=\"tfa_86\" id=\"tfa_86\" class=\"\">Zero income over the past two calendar months<\/option>\n<option value=\"tfa_87\" id=\"tfa_87\" data-conditionals=\"#tfa_85\" class=\"\">Cash income\/ income that is not documented for the past two calendar months<\/option><\/select><\/div>\n<\/div>\n<div class=\"oneField field-container-D    \" id=\"tfa_85-D\">\n<label id=\"tfa_85-L\" class=\"label preField reqMark\" for=\"tfa_85\">This income was received from:<\/label><br><div class=\"inputWrapper\"><textarea aria-required=\"true\" maxlength=\"500\" id=\"tfa_85\" name=\"tfa_85\" data-condition=\"`#tfa_87`\" title=\"This income was received from:\" class=\"required\"><\/textarea><\/div>\n<\/div>\n<div class=\"oneField field-container-D    \" id=\"tfa_142-D\">\n<label id=\"tfa_142-L\" class=\"label preField reqMark\" for=\"tfa_142\">Resident Income<\/label><br><div class=\"inputWrapper\">\n<input aria-required=\"true\" type=\"text\" id=\"tfa_142\" name=\"tfa_142\" value=\"\" maxlength=\"8\" aria-describedby=\"tfa_142-HH\" data-condition=\"`#tfa_76`\" title=\"Resident Income\" class=\"validate-integer required\"><span class=\"field-hint-inactive\" id=\"tfa_142-H\"><span id=\"tfa_142-HH\" class=\"hint\">Numbers only. No characters<\/span><\/span>\n<\/div>\n<\/div>\n<div class=\"oneField field-container-D     wf-acl-hidden\" id=\"tfa_315-D\">\n<label id=\"tfa_315-L\" class=\"label preField \" for=\"tfa_315\">Over18Indication<\/label><br><div class=\"inputWrapper\"><input type=\"text\" id=\"tfa_315\" name=\"tfa_315\" value=\"\" readonly data-condition=\"`#tfa_76`\" title=\"Over18Indication\" class=\"formula=1 calc-YesCount readonly\"><\/div>\n<\/div>\n<div class=\"oneField field-container-D     wf-acl-hidden\" id=\"tfa_316-D\">\n<label id=\"tfa_316-L\" class=\"label preField \" for=\"tfa_316\">UnderIndication<\/label><br><div class=\"inputWrapper\"><input type=\"text\" id=\"tfa_316\" name=\"tfa_316\" value=\"\" readonly data-condition=\"`#tfa_77`\" title=\"UnderIndication\" class=\"formula=1 calc-NoCount readonly\"><\/div>\n<\/div>\n<\/fieldset>\n<\/fieldset>\n<\/fieldset><\/div><\/div>\n<div class=\"wfPage\" id=\"wfPgIndex-4\"><div class=\"section pageSection\" id=\"tfa_197\" data-condition=\"`#tfa_267` OR (`#tfa_253` AND (`#tfa_256` AND `#tfa_14`))\"><fieldset id=\"tfa_149\" class=\"section\" data-condition=\"(`#tfa_253` AND `#tfa_256` AND `#tfa_14`) OR `#tfa_267`\">\n<legend id=\"tfa_149-L\"><b>Certifying Household Income Documentation<\/b><\/legend>\n<div id=\"tfa_199\" class=\"section inline group\"><div class=\"oneField field-container-D    \" id=\"tfa_98-D\">\n<label id=\"tfa_98-L\" class=\"label preField \" for=\"tfa_98\">Head of Household Race (Optional)<\/label><br><div class=\"inputWrapper\">\n<select id=\"tfa_98\" multiple name=\"tfa_98[]\" title=\"Head of Household Race (Optional)\" aria-describedby=\"tfa_98-HH\" class=\"\"><option value=\"\">Please select...<\/option>\n<option value=\"tfa_99\" id=\"tfa_99\" class=\"\">American Indian or Alaska Native<\/option>\n<option value=\"tfa_100\" id=\"tfa_100\" class=\"\">Asian<\/option>\n<option value=\"tfa_101\" id=\"tfa_101\" class=\"\">Black or African American<\/option>\n<option value=\"tfa_102\" id=\"tfa_102\" class=\"\">Hispanic<\/option>\n<option value=\"tfa_103\" id=\"tfa_103\" class=\"\">Latinx or Spanish<\/option>\n<option value=\"tfa_104\" id=\"tfa_104\" class=\"\">Middle Eastern or North African<\/option>\n<option value=\"tfa_105\" id=\"tfa_105\" class=\"\">Native Hawaiian or Other Pacific Islander<\/option>\n<option value=\"tfa_106\" id=\"tfa_106\" class=\"\">White or Caucasian<\/option>\n<option value=\"tfa_107\" id=\"tfa_107\" data-conditionals=\"#tfa_109\" class=\"\">Other<\/option>\n<option value=\"tfa_108\" id=\"tfa_108\" class=\"\">Prefer Not to Answer<\/option><\/select><span class=\"field-hint-inactive\" id=\"tfa_98-H\"><span id=\"tfa_98-HH\" class=\"hint\">NOTE, YOU MAY REPORT MORE THAN ONE GROUP. <br>Ctrl + Click to highlight multiple options.&nbsp;<\/span><\/span>\n<\/div>\n<\/div><\/div>\n<div class=\"oneField field-container-D    \" id=\"tfa_109-D\">\n<label id=\"tfa_109-L\" class=\"label preField \" for=\"tfa_109\">\"Other\" Race Description<\/label><br><div class=\"inputWrapper\"><input type=\"text\" id=\"tfa_109\" name=\"tfa_109\" value=\"\" data-condition=\"`#tfa_107`\" title='\"Other\" Race Description' class=\"\"><\/div>\n<\/div>\n<fieldset id=\"tfa_307\" class=\"section\">\n<legend id=\"tfa_307-L\"><b>Confirm # of Residents<\/b><\/legend>\n<div class=\"oneField field-container-D    \" id=\"tfa_308-D\">\n<label id=\"tfa_308-L\" class=\"label preField \" for=\"tfa_308\"><b>Number of residents<\/b><\/label><br><div class=\"inputWrapper\"><input type=\"text\" id=\"tfa_308\" name=\"tfa_308\" value=\"\" readonly title=\"Number of residents\" class=\"formula=YesCount+NoCount readonly\"><\/div>\n<\/div>\n<div class=\"oneField field-container-D    \" id=\"tfa_309-D\">\n<label id=\"tfa_309-L\" class=\"label preField \" for=\"tfa_309\"><b>Over 18 years old<\/b><\/label><br><div class=\"inputWrapper\"><input type=\"text\" id=\"tfa_309\" name=\"tfa_309\" value=\"\" readonly title=\"Over 18 years old\" class=\"formula=YesCount readonly\"><\/div>\n<\/div>\n<div class=\"oneField field-container-D    \" id=\"tfa_310-D\">\n<label id=\"tfa_310-L\" class=\"label preField \" for=\"tfa_310\"><b>Under 18 years old<\/b><\/label><br><div class=\"inputWrapper\"><input type=\"text\" id=\"tfa_310\" name=\"tfa_310\" value=\"\" readonly title=\"Under 18 years old\" class=\"formula=NoCount readonly\"><\/div>\n<\/div>\n<div class=\"oneField field-container-D    \" id=\"tfa_311-D\" role=\"group\" aria-labelledby=\"tfa_311-L\" data-tfa-labelledby=\"-L tfa_311-L\"><div class=\"inputWrapper\"><span id=\"tfa_311\" class=\"choices vertical required\"><span class=\"oneChoice\"><input type=\"checkbox\" value=\"tfa_312\" class=\"\" id=\"tfa_312\" name=\"tfa_312\" aria-labelledby=\"tfa_312-L\" data-tfa-labelledby=\"tfa_311-L tfa_312-L\" data-tfa-parent-id=\"tfa_311\"><label class=\"label postField\" id=\"tfa_312-L\" for=\"tfa_312\"><span class=\"input-checkbox-faux\"><\/span>I certify that I have entered all members of the household<\/label><\/span><\/span><\/div><\/div>\n<\/fieldset>\n<div class=\"oneField field-container-D    \" id=\"tfa_151-D\">\n<label id=\"tfa_151-L\" class=\"label preField reqMark\" for=\"tfa_151\"><b>I CERTIFY<\/b> that my household makes no more than 80% of area median income or less based on my county of residence and household size. <\/label><br><div class=\"inputWrapper\"><select aria-required=\"true\" id=\"tfa_151\" name=\"tfa_151\" title=\"I CERTIFY that my household makes no more than 80% of area median income or less based on my county of residence and household size. \" class=\"required\"><option value=\"\">Please select...<\/option>\n<option value=\"tfa_152\" id=\"tfa_152\" class=\"\">Yes<\/option>\n<option value=\"tfa_153\" id=\"tfa_153\" class=\"\">No<\/option><\/select><\/div>\n<\/div>\n<div class=\"htmlSection\" id=\"tfa_216\"><div class=\"htmlContent\" id=\"tfa_216-HTML\"><p>Click <b><a style=\"text-decoration-line: underline;\" target=\"_blank\" href=\"https:\/\/www.illinoissfa.com\/income-eligibility-lookup-tool\/\">here<\/a><\/b> to view the income chart.<\/p><\/div><\/div>\n<div class=\"oneField field-container-D    \" id=\"tfa_146-D\">\n<label id=\"tfa_146-L\" class=\"label preField reqMark\" for=\"tfa_146\"><span id=\"tfa_95\" class=\"choices horizontal\"><span class=\"oneChoice\"><b>I CERTIFY<\/b> occupancy status<\/span><\/span><\/label><br><div class=\"inputWrapper\"><select aria-required=\"true\" id=\"tfa_146\" name=\"tfa_146\" title=\"I CERTIFY occupancy status\" class=\"required\"><option value=\"\">Please select...<\/option>\n<option value=\"tfa_147\" id=\"tfa_147\" class=\"\">Owns Unit<\/option>\n<option value=\"tfa_148\" id=\"tfa_148\" class=\"\">Rents Unit<\/option><\/select><\/div>\n<\/div>\n<\/fieldset><\/div><\/div>\n<div class=\"wfPage\" id=\"wfPgIndex-5\"><div class=\"section pageSection\" id=\"tfa_198\" data-condition=\"`#tfa_267` OR (`#tfa_253` AND `#tfa_256` AND `#tfa_14`)\"><fieldset id=\"tfa_178\" class=\"section\" data-condition=\"(`#tfa_253` AND `#tfa_256` AND `#tfa_14`) OR `#tfa_267`\">\n<div class=\"oneField field-container-D    \" id=\"tfa_230-D\">\n<label id=\"tfa_230-L\" class=\"label preField reqMark\" for=\"tfa_230\">How did you hear about the ILSFA Program?<\/label><br><div class=\"inputWrapper\"><select aria-required=\"true\" id=\"tfa_230\" name=\"tfa_230\" title=\"How did you hear about the ILSFA Program?\" class=\"required\"><option value=\"\">Please select...<\/option>\n<option value=\"tfa_231\" id=\"tfa_231\" class=\"\">Vendor Event<\/option>\n<option value=\"tfa_232\" id=\"tfa_232\" class=\"\">ILSFA Grassroots Education<\/option>\n<option value=\"tfa_233\" id=\"tfa_233\" class=\"\">Community Newsletter<\/option>\n<option value=\"tfa_234\" id=\"tfa_234\" class=\"\">Door to Door Recruitment<\/option>\n<option value=\"tfa_235\" id=\"tfa_235\" class=\"\">Direct Mail<\/option>\n<option value=\"tfa_236\" id=\"tfa_236\" class=\"\">Marketing Material<\/option>\n<option value=\"tfa_237\" id=\"tfa_237\" class=\"\">News Article<\/option>\n<option value=\"tfa_238\" id=\"tfa_238\" class=\"\">Online Ad<\/option>\n<option value=\"tfa_239\" id=\"tfa_239\" class=\"\">TV Ad<\/option>\n<option value=\"tfa_240\" id=\"tfa_240\" class=\"\">Radio Ad<\/option>\n<option value=\"tfa_241\" id=\"tfa_241\" class=\"\">Neighborhood Organization<\/option>\n<option value=\"tfa_242\" id=\"tfa_242\" class=\"\">Local Elected Official<\/option>\n<option value=\"tfa_243\" id=\"tfa_243\" class=\"\">Word of Mouth<\/option>\n<option value=\"tfa_244\" id=\"tfa_244\" class=\"\">Energy Efficiency Program<\/option>\n<option value=\"tfa_245\" id=\"tfa_245\" class=\"\">Elevate Staff<\/option>\n<option value=\"tfa_246\" id=\"tfa_246\" class=\"\">ILSFA Staff<\/option>\n<option value=\"tfa_247\" id=\"tfa_247\" class=\"\">IPA Staff<\/option>\n<option value=\"tfa_248\" id=\"tfa_248\" class=\"\">Utility <\/option>\n<option value=\"tfa_249\" id=\"tfa_249\" data-conditionals=\"#tfa_250\" class=\"\">Other <\/option><\/select><\/div>\n<\/div>\n<div class=\"oneField field-container-D    \" id=\"tfa_250-D\">\n<label id=\"tfa_250-L\" class=\"label preField \" for=\"tfa_250\">Please describe how you heard about this program? <\/label><br><div class=\"inputWrapper\"><input type=\"text\" id=\"tfa_250\" name=\"tfa_250\" value=\"\" data-condition=\"`#tfa_249`\" title=\"Please describe how you heard about this program? \" class=\"\"><\/div>\n<\/div>\n<fieldset id=\"tfa_179\" class=\"section\" data-condition=\"`#tfa_253` AND `#tfa_256` AND `#tfa_14`\">\n<legend id=\"tfa_179-L\"><b>Vendor Referral Program&nbsp;<\/b><\/legend>\n<div class=\"htmlSection\" id=\"tfa_129\"><div class=\"htmlContent\" id=\"tfa_129-HTML\"><p>Income eligible households of a single-family building that have been determined to be income eligible may participate in our Referral Program. Through the Referral Program, your contact information and basic building information will be shared with Approved Vendors that have provided standard offers. <span style=\"display:none;\">You may find a list of participating Approved Vendors in this <a href=\"https:\/\/www.illinoissfa.com\/announcements\/2020\/10\/distributed-generation-offers-document\/\" target=\"_blank\">document<\/a>.&nbsp; This is optional.<\/span><\/p><\/div><\/div>\n<div class=\"oneField field-container-D    \" id=\"tfa_29-D\">\n<label id=\"tfa_29-L\" class=\"label preField reqMark\" for=\"tfa_29\">Would you like to participate in Vendor Referral Program?<\/label><br><div class=\"inputWrapper\"><select aria-required=\"true\" id=\"tfa_29\" name=\"tfa_29\" title=\"Would you like to participate in Vendor Referral Program?\" class=\"required\"><option value=\"\">Please select...<\/option>\n<option value=\"tfa_30\" id=\"tfa_30\" class=\"\">Yes, I would like to opt in the referral program if my household is income eligible.<\/option>\n<option value=\"tfa_31\" id=\"tfa_31\" class=\"\">No, I would not like to opt in the referral program if my household is income eligible. <\/option><\/select><\/div>\n<\/div>\n<\/fieldset>\n<fieldset id=\"tfa_180\" class=\"section\" data-condition=\"`#tfa_253` AND `#tfa_256` AND `#tfa_14`\">\n<legend id=\"tfa_180-L\"><b>Terms &amp; Conditions<\/b><\/legend>\n<div class=\"htmlSection\" id=\"tfa_112\"><div class=\"htmlContent\" id=\"tfa_112-HTML\"><p>Terms and Conditions<span class=\"reqMark\" style=\"color: #e04e22;font-size: 90%;\"><\/span>:<\/p>\n<ul>\n<li>You have read, agree to, and have met all program terms and conditions as outlined in this form.<\/li>\n<li>You have the authority to provide the information in this form. You have the consent of the individuals in your household whose information is included.<\/li>\n<li>All of the information contained in this form and any supporting documentation is complete, true and correct, and all income of the household members has been fully disclosed.<\/li>\n<li>You understand that, subject to applicable law, the information provided in this Income Verification Request Form will be used for the permissible purpose above including, but not limited to, determining program eligibility, monitoring compliance with the program, assessing the program, and modifying and\/or improving the program.<\/li>\n<li>You are the property owner or, if you are not the property owner, you have obtained the consent of the property owner to participate in the program.<\/li>\n<li>You consent to the Program Administrator requesting and obtaining income information from the sources listed in this form for the purpose of verifying your household\u2019s eligibility for the program including, but not limited to, the following information: State and federal tax returns and tax return information<\/li>\n<li>Sources of Information: Equifax<\/li>\n<li>Information provided on, or in connection with, this Income Verification Request Form are subject to verification, and you agree to furnish supporting documents or additional information as requested.<\/li>\n<li>You will promptly update or correct any information furnished on, or in connection with, this Income Verification Request Form if you become aware of any change to, or inaccuracy of, such information during your participation in the program.<\/li>\n<li>Intentional misstatements, falsification or failure to update or correct this Income Verification Request Form may result in ineligibility for, or termination from, the program. By submitting this form, you are agreeing to receive emails about Illinois Solar for All from ILSFA Approved Vendors.<\/li>\n<\/ul><\/div><\/div>\n<div class=\"oneField field-container-D  labelsRemoved  \" id=\"tfa_110-D\" role=\"group\" aria-labelledby=\"tfa_110-L\" data-tfa-labelledby=\"-L tfa_110-L\"><div class=\"inputWrapper\"><span id=\"tfa_110\" class=\"choices vertical required\"><span class=\"oneChoice\"><input type=\"checkbox\" value=\"tfa_111\" class=\"\" id=\"tfa_111\" name=\"tfa_111\" aria-labelledby=\"tfa_111-L\" data-tfa-labelledby=\"tfa_110-L tfa_111-L\" data-tfa-parent-id=\"tfa_110\"><label class=\"label postField\" id=\"tfa_111-L\" for=\"tfa_111\"><span class=\"input-checkbox-faux\"><\/span>By checking this box and submitting this form, you are acknowledging your understanding of, and agreement to, the terms and conditions list above.&nbsp;<\/label><\/span><\/span><\/div><\/div>\n<\/fieldset>\n<fieldset id=\"tfa_295\" class=\"section\" data-condition=\"`#tfa_267`\">\n<legend id=\"tfa_295-L\"><b>Terms &amp; Conditions<\/b><\/legend>\n<div class=\"htmlSection\" id=\"tfa_296\"><div class=\"htmlContent\" id=\"tfa_296-HTML\"><p>Terms and Conditions<span class=\"reqMark\" style=\"color: #e04e22;font-size: 90%;\"><\/span>:<\/p>\u2022&nbsp;&nbsp; &nbsp;You have read, agree to, and have met all program terms and conditions as outlined in this form.<br>\u2022&nbsp;&nbsp; &nbsp;You have the authority to provide the information in this form. You have the consent of the individuals in your household whose information is included.<br>\u2022&nbsp;&nbsp; &nbsp;All of the information contained in this form and any supporting documentation is complete, true and correct, and all income of the household members has been fully disclosed.<br>\u2022&nbsp;&nbsp; &nbsp;You understand that, subject to applicable law, the information provided in this Income Verification Request Form will be used for the permissible purpose above including, but not limited to, determining program eligibility, monitoring compliance with the program, assessing the program, and modifying and\/or improving the program.<br>\u2022&nbsp;&nbsp; &nbsp;You consent to the Program Administrator requesting and obtaining income information from the sources listed in this form for the purpose of verifying your household\u2019s eligibility for the program including, but not limited to, the following information: State and federal tax returns and tax return information<br>\u2022&nbsp;&nbsp; &nbsp;Sources of Information: Equifax<br>\u2022&nbsp;&nbsp; &nbsp;Information provided on, or in connection with, this Income Verification Request Form are subject to verification, and you agree to furnish supporting documents or additional information as requested.<br>\u2022&nbsp;&nbsp; &nbsp;You will promptly update or correct any information furnished on, or in connection with, this Income Verification Request Form if you become aware of any change to, or inaccuracy of, such information during your participation in the program.<br>\u2022&nbsp;&nbsp; &nbsp;Intentional misstatements, falsification or failure to update or correct this Income Verification Request Form may result in ineligibility for, or termination from, the program. By submitting this form, you are agreeing to receive emails about Illinois Solar for All from ILSFA Approved Vendors.\u201d<br><ul><\/ul><\/div><\/div>\n<div class=\"oneField field-container-D  labelsRemoved  \" id=\"tfa_297-D\" role=\"group\" aria-labelledby=\"tfa_297-L\" data-tfa-labelledby=\"-L tfa_297-L\"><div class=\"inputWrapper\"><span id=\"tfa_297\" class=\"choices vertical required\"><span class=\"oneChoice\"><input type=\"checkbox\" value=\"tfa_298\" class=\"\" id=\"tfa_298\" name=\"tfa_298\" aria-labelledby=\"tfa_298-L\" data-tfa-labelledby=\"tfa_297-L tfa_298-L\" data-tfa-parent-id=\"tfa_297\"><label class=\"label postField\" id=\"tfa_298-L\" for=\"tfa_298\"><span class=\"input-checkbox-faux\"><\/span>By checking this box and submitting this form, you are acknowledging your understanding of, and agreement to, the terms and conditions list above.&nbsp;<\/label><\/span><\/span><\/div><\/div>\n<\/fieldset>\n<\/fieldset><\/div><\/div>\n<div class=\"actions\" id=\"4653663-A\" data-contentid=\"submit_button\"><input type=\"submit\" data-label=\"Submit\" class=\"primaryAction\" id=\"submit_button\" value=\"Submit\"><\/div>\n<div style=\"clear:both\"><\/div>\n<input type=\"hidden\" value=\"510-9f9f144af66b38644d8745afa58e2579\" name=\"tfa_dbCounters\" id=\"tfa_dbCounters\" autocomplete=\"off\"><input type=\"hidden\" value=\"4653663\" name=\"tfa_dbFormId\" id=\"tfa_dbFormId\"><input type=\"hidden\" value=\"\" name=\"tfa_dbResponseId\" id=\"tfa_dbResponseId\"><input type=\"hidden\" value=\"25e58ebd29c9765d06cc5617a5a2a7fb\" name=\"tfa_dbControl\" id=\"tfa_dbControl\"><input type=\"hidden\" value=\"\" name=\"tfa_dbWorkflowSessionUuid\" id=\"tfa_dbWorkflowSessionUuid\"><input type=\"hidden\" value=\"1777862064\" name=\"tfa_dbTimeStarted\" id=\"tfa_dbTimeStarted\" autocomplete=\"off\"><input type=\"hidden\" value=\"26\" name=\"tfa_dbVersionId\" id=\"tfa_dbVersionId\"><input type=\"hidden\" value=\"\" name=\"tfa_switchedoff\" id=\"tfa_switchedoff\">\n<\/form>\n<\/div><\/div><div class=\"wFormFooter\"><p class=\"supportInfo\"><br><\/p><\/div>\n  <p class=\"supportInfo\" >\n      <\/p>\n <\/div>\n\n<script\n    id=\"analytics-collector-script\"\n    type=\"text\/javascript\"\n    src=\"https:\/\/elevateenergy.tfaforms.net\/dist\/analytics\/data-collector.f9f54c12ade21135b7c2.js\"\n    data-customer-id=\"2227\"\n    data-endpoint=\"https:\/\/analytics.formassembly.com\/v1\/traces\"\n><\/script>\n\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":4,"comment_status":"closed","ping_status":"closed","template":"template-eligibility-verification.blade.php","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-10487","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - 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