DOE F 413.4 Zero Energy Ready Home

DOE HQ F
413.4 (07/2023)

OMB Control #: 1910-5184
Exp. Date: XX/XX/XXXX

Register for the DOE Zero Energy Ready Home
Complete the online registration to become a DOE Zero Energy Ready Home partner.

* Required Fields

Contact Information
* Organization
Name(complete legal name ­
i.e. Acme, LLC):
* Organization Type:

Select

Parent Organization (if
applicable):
* Street Address (i.e. "123
Main St." ­ NO CITY; NO
STATE):
* City:
* State:

Select

* Zip:
* Primary Phone
Number(numbers only, no
hyphens or dots):
Website Address (complete
­
"http://www.example.com"):

Primary Contact
* Authorized Signature?
* First Name:
* Last Name:
* Title/Role:
Complete Mailing
Address (if different from
above):

 Yes 

 No

DOE HQ F 413.4
(03/2015)

* Primary Contact's Direct
Phone Number(numbers
only, no hyphens or dots):
* Email Address (i.e.
[email protected]):
GovDelivery Subscription:
(To subscribe to the DOE
Zero Energy Ready Home e­
newsletter, please enter your
email address above, and
click the following button.)

Subscribe to DOE Zero Energy Ready Home Newsletter (opens new window)

Upload your organization's logo
Choose File No file chosen

The format of this logo must be in the following formats: JPEG, JPG, PNG

All places your organization conducts business

Select/Deselect
All
 Alabama
 Alaska
 Arizona
 Arkansas
 California
 Colorado
Connecticut
 Delaware

District of
Columbia

 Kentucky

Montana

 Ohio

 Utah

 Louisiana

Nebraska

Oklahoma

Vermont

 Maine

Nevada

 Oregon

 Virginia

Florida
Georgia
 Maryland
Hawaii
 Idaho
Illinois

Massachusetts

 New
Hampshire

Pennsylvania Washington

 New
Jersey

 Rhode
Island

 West
Virginia

 New
Mexico

 South
Carolina

Wisconsin

 Michigan

Indiana

 Minnesota

 Iowa

Mississippi

Kansas

 Missouri

 New York
 North
Carolina

 South
Dakota
Tennessee

Wyoming

DOE HQ F 413.4
(03/2015)

 North
Dakota

Register Account

 Texas

  Reset Form

Please know your account is subject to review. Your account will be approved and listed as soon as all
requirements are met. You will receive a confirmation email once your account is approved.