Weatherization Application Process

Nicholas Community Action Partnership

To apply for weatherization services, please print and complete THIS APPLICATION, and submit along with the following list of required documents. (Your application is not considered complete without the required documentation below.) You may submit your application by visiting in person, our offices located at 1205 Broad Street, Summersville, WV.


  • Proof of ALL Household Income. (if employed, 1 month of paystubs, 1040 tax return, w-2’s. If receiving Social Security, your Benefit Letter from Social Security.)
  • Copy of your most recent electric bill
  • Copy of your most recent primary and secondary heating bill
  • Application (click to print)
  • Additional Household Member Information form
  • Landlord Owner Investment form (if applicable)
  • Rental Release and Agreement form (If applicable)
  • Zero Income Affidavit (If applicable)

Click The Button to Download and Print

The following information will lead you to the next steps to apply for this benefit: