Under-Resourced Buildings Application for Additional Services

This application is for under-resourced buildings that would like to apply for additional support to meet Energize Denver Performance Requirements. Your application will be reviewed by City staff to determine if the building is eligible for additional 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 Energize Denver Resource Hub by phone at (844)-536-4528 or by email at 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. * 🛈

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

Affordable Housing

Human Services/Restricted Income Provider

N/A

Does the building have an affordable housing covenant? *

Yes

No

Unsure

How many affordable housing units are in the building? (e.g 10) *

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

Is your building owned or occupied by non-profits? * 🛈

Yes

No

If Yes, please upload proof of non-profit status.

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

Do you own the building? * 🛈

Yes

No

What percent of the building do you lease? * 🛈

What is the length of your lease? *

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

Does your building serve frontline communities? * 🛈

Yes

No

If Yes, tell us briefly how your building serves frontline communities. * 🛈

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

Note: The collection of these 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. *