Self Scheduling

Home Energy Assessment Online Scheduling

Columbia Gas of Ohio customers can use this tool to schedule their own Whole Home Energy Assessment.
These assessments are available to most customers who reside in a single family home, condo or 2-4 unit building.

I’d like to schedule a Home Energy Assessment.

I'd like to reschedule or cancel my appointment.

Great! Let's make sure you are eligible.

First Name *

Last Name*

Email*

Best Phone*

Check the box below if this is a mobile phone

Alternate Phone

Service Zip *

Number of people in your household

For last year, was the total annual income for your household $19,140.00 or less?

What type of fuel do you use to heat home?*

Year the home was built

What type of home do you have?*

Do you own or rent?*

Are you 60 years or older?

Size of home (sq. ft.)

Are you on Percentage of Income Payment Plan? (PIPP Plus)

How did you hear about this program?*

Did you receive a promotional code?

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Unit Type

Location of Unit

Configuration of Unit

Did you replace the appliance to be recycled?

Add Unit

Unit Type	Location of Unit	Configuration of Unit			replaced the appliance to be recycled
No Unit Selected

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Save and Continue

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Payee's First Name

Payee's Last Name

Street 1

Street 2

City

State

Zip

Is the refrigerator and/or freezer emptied,defrosted and wiped out of foreign matter?

I agree I am the owner of all appliances to be recycled.

I understand that I must provide a clear and safe path with access to all units as pickup crews are not equipped to move items in or around the unit.

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Submit Unit(s)

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Gas Utility Copy information from the previous page

Gas Utility Account # (Please enter if available)

Account Holder First Name*

Account Holder Last Name*

Details about your home

Service Street # *

Service Street Name *

Service Apt #/ Lot#/ Unit #

City*

State*

Zip*

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Continue

What's a good time for us to visit?

Based on your choices, plan for for a detailed assessment for your home. Please select the best time for us to visit:

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Number of household members	Maximum Income
1	$23,760
2	$32,080
3	$40,320
4	$48,600
5	$56,880
6	$65,160
7	$73,460
8	$81,780
add $8,320 for each additional household member

Eligibility check fail!

Home Energy Assessment Online Scheduling

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Search for your appointment.

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Great! Let's make sure you are eligible.

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Gas Utility Copy information from the previous page

Details about your home

What's a good time for us to visit?

You are all set!

	Looks like the appointment time you selected is no longer available. Please select another time.