Energize Denver: Equity Priority Buildings Application for Compliance Assistance

This application is for equity priority buildings that would like to apply for free compliance assistance to meet Energize Denver benchmarking and Performance Requirements. City staff will review your application to determine if the building is eligible for compliance assistance.

You will be contacted if we need additional information and notified by email of your application status following its review. If you have questions regarding your application status, reach out to the Building Performance Help Desk by phone (844)-536-4528 or by email energizedenver@denvergov.org.

I. Contact Information

First Name *

Last Name *

Phone Number *

Email Address *

Relationship to Building *

Company Name *

II. Building Information

Building Name *

Building Address

Building City

Building State

Building Zip

Denver Building ID. Use your building address to find your ID, here. * 🛈

Do you own the building? * 🛈

Yes

No

What is the length of your lease and when does your lease end? *

Does your building fall under at least one of the following Buildings classifications? *

Multifamily Affordable Housing

Affordable Apartment Building (e.g. NOAH)

Income Qualified Residential Condominium

Commercial Building

Nonprofit Organization

None of the Above None of the Above

Does the building have an affordable housing covenant? *

Yes

No

Unsure

How many units are in the building? (e.g 100) *

Please upload a copy of the regulatory agreement or the affordable housing covenant that specifies the number of units in the building that are deed-restricted affordable housing. *

Please upload a copy of the building's rent roll. The rent roll should include the following for all units:
- Unit Number
- Monthly Rent
- Number of Bedrooms
- End-date of Current Lease *

Please upload documentation that at least 2/3 of owners meet one of the eligibility criteria.
- A household income at or below 80% of Denver's area median income
- Enrollment in a public assistance program. Please see the full list below:

Cover page of the previous year's Form 1040, line 9
Your Form SSA-1099
Proof of enrollment in Xcel Energy income-qualified demand side management program
Proof of enrollment in Xcel Energy’s income-qualified Community Solar Gardens program
Proof of enrollment in the Denver Property Tax Relief Program
Proof of Social Security Disability Insurance (SSDI)
Proof of Supplemental Security Income (SSI)
Proof of Old Age Pension (OAP)
Proof of Support from any of the following:
- Aid to the Blind (AB)
- Aid to the Needy Disabled (AND)
- Supplemental Nutrition Assistance Program (SNAP)
- Section 8 Housing
- Women, Infants, and Children (WIC)
- Temporary Aid to Needy Families (TANF)
- LEAP (Utility Bill Assistance)

*

Please upload Form 1040 Schedule C of last year's tax return. Personal information should be redacted. *

What type of human service/restricted-income provider owns or occupies the building? *

Please upload your 501c(3) Letter of Determination from the IRS *

Please upload a written description of what your organization does, including how many people are served annually, what neighborhoods are served, and what services your organization provides. *

Is your building occupied by non-profits? *

Yes

No

What percent of the building do you lease to non-profits? * 🛈

Is your building located in any of the following NEST neighborhoods? * 🛈

Does your building serve climate-vulnerable communities? * 🛈

Yes

No

If yes, please explain how your building supports climate-vulnerable communities. These communities are populations that are disproportionately at risk from the adverse impacts of climate change due to their heightened sensitivity, exposure, or lack of capacity to cope with climate-related hazards. These communities often face greater risks from extreme weather events, rising sea levels, heatwaves, and other climate-related disruptions due to social, economic, geographic, and environmental vulnerabilities. *

CASR is trying to learn more about our community's access to cooling, could you please share if your building has Air Conditioning? *

Yes - whole building

Yes - part of the building

Somewhat - swamp cooler, etc

No No

Please let us know any additional information or concerns you have about your building meeting the energy performance requirements:

Please tell us if you would like assistance in Spanish throughout the Energize Denver process. *

Yes

No

Note: The collection of this data is for internal use to better guide CASR policies and is not shared with third parties that are not involved in the Energize Denver Performance Requirements.

III. Signatures and Contact Information

I, the undersigned authorized representative of the building owner, affirm and attest to the accuracy, truthfulness, and completeness of the statements of material fact provided in this form.

Date * +

By typing my name below, I am electronically signing this application. *