Energy Efficiency Kit Order Acknowledgment Form

Home Efficiency Income Qualified Initiative Customer Application

It only takes about 3 minutes to complete this important step towards saving energy and money.


By submitting this application, you are applying to receive a Home Energy Assessment through the Ameren Illinois Energy Efficiency Program. Following your submission, a Program representative will contact you with more details.

If you have any questions, please call us at 1.866.838.6918.

Please verify that you meet the basic eligibility requirements of the Program:


AmerenIllinoisSavings.com/NominateYour Building.


Format: ########## (no dashes)

Format: 000-000-0000

Format: 000-000-0000


Do you own your home? *
Primary Heat Source *
Type of foundation in your home, Check all that apply *
Are you able to provide proof of participation in any of the following income based assistance programs? (proof of participation may eliminate the need for additional income documentation.) Check all that apply
Currently live in your home, check all that apply *
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