20220706IPC to Staff 11 - Attachment 6 - Customer Surveys C.jpg

Weatherization Assistance for Qualified Customers and Weatherization Solutions for Eligible Customers HOME VERIFICATION SURVEY
Attachment to JOS for home verification Weatherization Solutions Job Number (,..) / L 52155v'5 Contractor IL-(5 —W
Customer Feedback
How much did you learn during weatherization about
using energy wisely in your home?
How many ways have you tried to save energy in your home?
Customer Comments:
Little None
Some Little None
Customer Consent for Release of Utility Customer Information
I ("Customer"), hereby authorize Idaho Power Company to release to the Weatherization Inspector the following information regarding
my Customer Service Account: phone number and address of home where efficiency improvements have been installed and
weatherization measures installed in my home to be inspected. Customer understands that the sole purpose of this information is to
allow the Inspector to verify efficiency improvements have been installed to company standards. Customer hereby releases and
discharges Idaho Power Company, its officers and employees, from all claims and liabilities, which Idaho Power Company might
otherwise incur as a result of the release of information hereunder. I also certify that I am the individual whose name appears on the
account.
Customer/' &
Signature 1
Date /0 — l c —/9