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Home Energy Audit Form

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Home Energy Audit Agreement and Report Form

Parties and Project Identification

Client Name:

Audit Report Number:     Date of Audit:

WHEREAS Recitals

WHEREAS, Contractor is duly qualified and experienced in performing residential energy audits, measurement, and analysis of building energy systems and recommending cost-effective efficiency measures;

WHEREAS, Client desires to engage Contractor to perform an energy audit at the Property to identify energy use, deficiencies, and recommended measures to reduce energy consumption and costs; and

WHEREAS, Contractor agrees to perform the services and deliver a written report under the terms and conditions set forth in this Agreement.

Scope of Work

Contractor shall perform a comprehensive home energy audit which shall include a visual inspection, diagnostic testing where applicable, measurement of existing conditions, calculation of estimated energy use, and preparation of a written report containing findings and prioritized recommended energy conservation measures. Specific items inspected may include building envelope, insulation levels, air leakage, heating and cooling systems, ductwork, domestic hot water, lighting, and major appliances.

Audit Observations and Measurements

Home square footage:     Primary heating fuel:

HVAC system age (years):     Insulation R-value (attic/walls):

Observed Conditions (check all that apply)

Inadequate insulation    Significant air leakage    Ductwork leakage or poor insulation    HVAC near end of useful life

Inefficient lighting    Old water heater    Drafty or single-pane windows    Other (specify below)

Recommendations and Estimated Savings

Summary of recommended measures and priority (e.g., Air sealing, Insulation, HVAC tune-up, Lighting upgrades). Contractor will provide estimated energy and cost savings for each recommended measure.

Payment Terms

Client agrees to pay Contractor the fees set forth below in consideration for the audit, report, and recommendations. Fees cover on-site inspection, diagnostic testing, and preparation of the written report unless otherwise noted in the Scope of Work.

Payments not received by the due date shall bear the agreed late fee and Contractor may suspend further work or delivery of final report until invoices are paid in full. Contractor may recover reasonable costs of collection, including attorney fees, for unpaid balances.

Term and Termination

This Agreement is effective as of the Effective Date below and shall continue until completion of the services described in the Scope of Work, unless earlier terminated. Either party may terminate for convenience upon prior written notice as provided herein.

Effective Date:

Termination for Convenience: Either party may terminate this Agreement upon days' prior written notice. Termination for Cause: Either party may terminate immediately for material breach if the breach is not cured within days after written notice.

Confidentiality

Each party shall maintain the confidentiality of non-public information disclosed in connection with this Agreement and shall not disclose such information to third parties except as required by law or as necessary to perform the Scope of Work. Contractor's audit report, recommendations, and underlying data shall be treated as confidential and may only be shared with authorized representatives of the Client unless the Client provides written consent to other disclosures.

Limitations and Disclaimers

The audit is a visual and diagnostic assessment based on conditions observed at the time of inspection. Contractor does not guarantee actual energy savings; estimated savings are projections based on industry-standard calculations and assumptions. Contractor is not responsible for latent defects, conditions not observable during inspection, or for performance of third-party contractors retained by Client to implement recommendations.

Governing Law

This Agreement shall be governed by and construed in accordance with the laws of the state in which the Property is located, without regard to its conflict of law provisions. Venue for any dispute shall be the state or federal courts located within that state.

Entire Agreement

This Agreement, including the Scope of Work and any attachments executed by the parties, constitutes the entire agreement between Client and Contractor with respect to the subject matter hereof and supersedes all prior proposals, representations, or agreements, whether written or oral. Any modification must be in writing and signed by both parties.

Client Acknowledgment and Consent

By signing below, Client authorizes Contractor to enter the Property for the purpose of performing the audit, operate accessible building systems for inspection and testing, and to take reasonable photographs and measurements necessary to prepare the report. Client acknowledges that some minor disturbances (e.g., moving items in an attic) may be required and will permit access as reasonably necessary.

Client consents to the use of non-identifying aggregate data derived from the audit for Contractor's internal quality assurance and program evaluation purposes, provided that individual Client identity and Property address are not disclosed without prior written consent.

Additional Notes and Attachments

Client:

By:

Date:

Contractor:

By:

Date:

Enter text✕

What the Home Energy Audit Form Is and when it’s used

A Home Energy Audit Form documents an on-site or remote inspection of a residential property's energy systems, building envelope, and usage patterns. It captures measured data (meter readings, thermostat settings), observed conditions (insulation, air leakage, window types), and auditor findings. The completed form supports retrofit planning, rebate applications, efficiency certifications, and homeowner records. Typical users include homeowners, certified auditors or contractors, utility program administrators, and lenders evaluating energy-related improvements or incentives.

Why completing a clear, accurate audit form matters

A precise Home Energy Audit Form creates a reliable baseline for energy improvements, enables qualifying for rebates and incentives, and reduces rework. Accurate data supports cost estimates, prioritizes measures, and documents compliance with program or lender requirements.

Why completing a clear, accurate audit form matters

Who typically completes and relies on this form

The Home Energy Audit Form is completed by the auditor and delivered to the homeowner, program administrator, or contractor.

  • Homeowners seeking retrofit guidance or rebate eligibility; they use the report to prioritize improvements and validate contractor scopes.
  • Certified energy auditors or contractors who collect measurements, fill technical sections, and certify findings under program rules or state licensing.
  • Utility program managers or incentive administrators who review forms to verify eligibility and approve financial incentives or rebates.

Keep a signed copy for records and any future claims; retention requirements vary by program and jurisdiction.

Step-by-step: completing the Home Energy Audit Form

Follow these steps in order to collect data, confirm eligibility, and deliver a compliant audit report.

  • 01
    Prepare: Schedule visit and collect permit or program eligibility documents.
  • 02
    Inspect: Perform visual survey and diagnostic testing per program checklist.
  • 03
    Record: Enter measurements, photos, and observations in the form fields.
  • 04
    Deliver: Sign, date, and share the completed form with the homeowner and administrator.

Typical workflow for a completed audit form

A consistent workflow improves accuracy and speeds approval for incentives or retrofit work.

  • Upload: Submit the PDF or completed electronic form to the program portal.
  • Review: Program staff or reviewer checks eligibility and completeness.
  • Approve: Approved forms trigger rebate issuance or contractor mobilization.
  • Archive: Store the signed form and supporting files for the required retention period.

Recommended digital setup for completing forms online

Configure your document workflow to capture required fields, signer identity, and supporting attachments.

Field Configuration
Document Upload PDF or DOCX with fillable fields
Assign Signer Homeowner and certified auditor emails
Authentication Email link or SMS code
Notifications Automatic reminders for incomplete signatures

Digital delivery and file compatibility

Use platforms that accept common file types and support secure signer authentication.

  • File Types: PDF, DOCX, XLSX supported
  • Integrations: Works with Google Workspace, Microsoft 365
  • Security: Encryption in transit and at rest

Choose solutions that maintain an audit trail and retention capability to meet program or regulatory requirements.

Core sections to include on a professional Home Energy Audit Form

A complete form organizes site data, diagnostics, observations, and actionable recommendations so reviewers can verify findings quickly.

Survey Sections

Structured sections for building envelope, HVAC, lighting, appliances, and behavioral patterns that make it easy to find and verify observations during review and retrofit planning.

Meter Readings

Fields for current and historical meter reads, thermostat settings, and fuel usage that support calculated savings estimates and eligibility checks for incentive programs.

Diagnostic Results

Space to record blower door, duct leakage, combustion appliance analysis, and other test results that substantiate recommended measures and safety findings.

Thermal Imaging

Optional attachments for thermal images or infrared scans that visually document insulation gaps, air leaks, or moisture issues referenced in the recommendations.

Insulation Check

Detailed fields for wall, attic, and floor insulation types and R-values to guide retrofit scopes and validate compliance with local energy codes.

Cost Estimates

Line-item cost estimates and simple payback calculations to help homeowners prioritize measures and to support contractor bids or program incentive calculations.

Delivery formats and companion outputs

Provide multiple output formats so stakeholders can review, archive, or forward findings as needed.

Printable Report

A formatted PDF containing executive summary, measured data, diagnostics, photos, and signed certification suitable for homeowner records and physical filing.

Data Export

CSV or spreadsheet export of key fields (readings, measures, costs) to support program analytics, contractor estimating, and integration with upgrade tracking systems.

Rebate Package

A packet that bundles the completed form, supporting photos, receipts, and any required certificates to submit to utility or state incentive programs.

Action Plan

A concise, homeowner-facing list of recommended measures with priorities, estimated costs, and suggested next steps to facilitate decision making and contractor engagement.

Practical tips for accurate, efficient completion

Apply consistent procedures and documentation standards to improve reviewability and reduce common errors.

Schedule with access in mind
Confirm access to attics, basements, mechanical rooms, and all utility meters before arrival to avoid missed measurements and follow-up visits.
Use photos liberally
Attach clear, dated photos of problem areas, measured devices, and serial numbers to corroborate observations and simplify later verification.
Standardize units and formats
Record temperatures in °F, distances in inches or feet, and dates as MM/DD/YYYY to prevent confusion during analysis and rebate review.
Preserve signed originals
Retain the signed form and all supporting documents in digital and, if required, physical form for the program-mandated retention period.

Common mistakes to avoid when preparing the form

  • Omitting license or certification numbers for the auditor, which can void program eligibility.
  • Entering estimated rather than measured meter readings, undermining savings calculations.
  • Failing to attach supporting photos or diagnostic logs requested by the rebate program.
  • Using inconsistent address formats or mismatched owner names that delay processing.

Risks and consequences of incorrect or incomplete forms

Ineligible for rebates: Missing or incorrect data can disqualify incentive claims.
Contractor liability: Incorrect measures may lead to warranty or performance disputes.
Project delays: Incomplete forms require reinspection and rescheduling.
Financial misestimates: Bad data can skew payback and budgeting.
Program audit findings: Noncompliance can trigger audits or repayment demands.
Safety oversights: Missed combustion or ventilation issues risk occupant safety.

Comparing common eSignature providers for handling the Home Energy Audit Form

Select a provider that supports PDF fillable fields, audit trails, secure authentication, and any required compliance (HIPAA or program-specific).

signNow DocuSign Adobe Sign PandaDoc HelloSign
Starting Price $8/user/mo $15/user/mo $14/user/mo $19/user/mo $15/user/mo
Free Trial 7-day free trial Varies Varies Varies Varies
Bulk Send Yes Yes Yes Yes Varies
Audit Trail Yes Yes Yes Yes Yes
HIPAA Compliant Yes Yes Yes No No

Frequently asked questions about the Home Energy Audit Form

Answers to common questions about legal validity, e-signatures, notarization, retention, and typical submission issues.


Need help? Contact support

Security and compliance considerations for electronic forms

Encryption: TLS 1.2/1.3 in transit, AES-256 at rest
Audit Trail: Timestamped logs, IP, and action history
Access Controls: Role-based permissions and SSO options
HIPAA Support: BAA available where required
Standards: SOC 2 Type II and ISO 27001
File Formats: PDF/A, DOCX support for preservation

Real-world scenarios where the audit form is used

Two representative examples illustrate how the completed form supports decisions and program enrollment.

Residential Retrofit

A homeowner schedules an audit to qualify for a utility rebate and retrofit scope

  • Auditor records blower door and insulation R-values and recommends attic insulation
  • The completed, signed form plus photos and cost estimate allow the homeowner to apply for a $1,500 rebate and solicit contractor bids quickly.

Rental Property Upgrade

A landlord requests an energy audit to prioritize upgrades across multiple units

  • Auditor uses a standard form to collect identical fields for each unit to enable batch analysis
  • The consolidated reports inform a phased retrofit plan and support financing discussions with a local energy efficiency lender.

Typical timing expectations for audits and follow-up

Timelines vary by program; use these general benchmarks to plan scheduling and submissions.

Schedule Window:

Book the on-site audit within 14 days of homeowner request

Report Delivery:

Deliver the completed form within 7 business days after inspection

Rebate Submission:

Submit rebate applications within program-specified windows, often 30–90 days

Reinspection:

Allow 7–21 days for program reinspection where required

Record Retention:

Maintain records for the period specified by the program or statute

Key milestones from booking to project closeout

A milestone view helps track progress and assign responsibilities at each stage.

01

1. Booking

Homeowner and auditor agree on date and required access.

02

2. On-site Audit

Auditor completes measurements, tests, and photos.

03

3. Report Issuance

Auditor finalizes and signs the Home Energy Audit Form.

04

4. Submission & Follow-up

Submit to program or lender and schedule any required follow-ups.

Typical signers and their responsibilities

Homeowner — Primary Contact

The homeowner authorizes access, reviews recommendations, and signs the owner section to confirm receipt and consent. Their signature verifies property ownership or authorization to accept work and pursue incentives.

Certified Auditor — Licensed Professional

The auditor completes diagnostic sections, certifies measured values, and signs to confirm accuracy and compliance with program standards. Their credentials and license number are often required for rebate validation.

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