Cleaner and Greener Home Checklist

Report your points below to let us know about your energy saving actions. If you want us to use your points to help offset the emissions caused by energy use at a Cleaner and Greener Certified Event, fill in the name of the event in the form below.

This form must be filled out by an adult head of household. If you are filling out this form for a student's class project or another group, please enter your group ID below.

Your points (if individual report) or your group's cumulative points (if group report) on the Home Energy Savings Checklist: 

If you would like to use your points to help offset the emissions of a Cleaner and Greener Certified Event, fill in the name of the event:

Contact Information: (privacy policy)

If you are filling this form out for a student who has completed the School Energy Savings Checklist, please enter the School Energy Savings Checklist points here: 

Please enter your Group ID if you have one:

(security information)

If you do not wish to submit your information online, you may print out this form and mail it to the Cleaner and Greener Program at the address below.