MassSave Submission Form

    Please fill out as much of the form as you are able, then submit it and we'll help you do the rest.

    Contact Information










    I request that the contractor named above perform weatherization improvements through the Mass Save Home Energy Services Program.


    Already Had MS AssessmentNeeds MS Assessment

    Health/Safety Concerns

    Note any potential health or safety concerns including location. The Mass Save Energy Specialist will verify your observations and determine any effect on the work scope.






    Eligibility


    Gas
    Oil
    Other



    Eversource
    National Grid
    Other



    Eversource
    National Grid
    Other

    Contractor Recommendations

    AIR SEALING


    Yes
    No


    Attic
    Basement
    Living Space


    Yes
    No
    Partial


    Yes
    No


    Yes
    No


    Yes
    No

    ACCESSES







    ATTIC VENTILATION


    Roof
    Soffit
    Gable
    Ridge


    Yes
    No


    Roof
    Soffit
    Gable
    Ridge

    Notes


    650 Characters Max.


    *The MassSave Form will not be valid without a signature