HomePage / Green Initiatives / Climate Action / Green Buildings / Home Energy Retrofit Financing Program / Home Energy Retrofit Financing Program Application Form
Before you complete the application form please read all the program documents and FAQs available on the program website.  If you have any questions not answered by the FAQs please contact us at retrofit.financing@nanaimo.ca.

Proof of Pre-tax income (i.e. your most recent tax assessment) for all adult (18 or over) income earners in the home

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How did you first hear about the program

What is your current primary heating system? (note: a fire place is not considered a primary heating system)

Do you have any other secondary heating system in your home?

Do you currently have or intend to have solar/PV panels installed on the property you are submitting the application for?

About Your Retrofit Plans:

Tell us what upgrades you are considering

What home upgrade do you intend to use the financing requested from this program for?

What other upgrades are you considering for your home?

About You:

We would like to evaluate how this program is being accessed by different parts of our community

Your Current Gender

Do you identify as one of the following groups? Select all that apply

Please attach proof of homeownership

This field is required

I acknowledge that I have read the Terms & Conditions and certify that I and my property are eligible to participate in the Nanaimo Home Energy Retrofit Financing Program (the “Program”).

I am aware that any incomplete, inaccurate, or misleading information on this form may be cause for my rejection/expulsion from the Program.

I consent that the City of Nanaimo and its partners in the Program collect income tax information for the sole purpose of verifying income-qualified participation. I understand that this information will be kept confidential and will not be used or distributed for any other purpose.

I agree tenants will not be evicted or displaced, and rent increases will not be implemented as a direct result of any improvements completed under the Program (if applicable)

If selected for the financing program the address and legal description of your property will be disclosed publicly as part of the bylaw and notification requirements for a local service area bylaw.

I understand the process as set out above, and will not hold the City or its partners in the program liable for any costs whatsoever should I fail to follow the process as set out above.

Collection and use of your personal information

Information collected on this form is done so under the general authority of the Community Charter and Freedom of Information and Protection of Privacy Act (FOIPPA), and is protected in accordance with FOIPPA. Questions about the collection of your personal information may be referred to the Legislative Services Department at 250-755-4405, or via email at foi@nanaimo.ca. Please also see our Privacy Policy.



Last updated: March 21, 2025

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Collection and use of your personal information

Information collected on this form is done so under the general authority of the Community Charter and Freedom of Information and Protection of Privacy Act (FOIPPA), and is protected in accordance with FOIPPA. Questions about the collection of your personal information may be referred to the Legislative Services Department at 250-755-4405, or via email at foi@nanaimo.ca. Please also see our Privacy Policy.