Terms and Conditions:
• You have read, agree to, and have met all program terms and conditions as outlined in this form.
• You have the authority to provide the information in this form. You have the consent of the individuals in your household whose information is included.
• All of the information contained in this form and any supporting documentation is complete, true and correct, and all income of the household members has been fully disclosed.
• You understand that, subject to applicable law, the information provided in this Income Verification Request Form will be used for the permissible purpose above including, but not limited to, determining program eligibility, monitoring compliance with the program, assessing the program, and modifying and/or improving the program.
• You consent to the Program Administrator requesting and obtaining income information from the sources listed in this form for the purpose of verifying your household’s eligibility for the program including, but not limited to, the following information: State and federal tax returns and tax return information
• Sources of Information: Equifax
• Information provided on, or in connection with, this Income Verification Request Form are subject to verification, and you agree to furnish supporting documents or additional information as requested.
• You will promptly update or correct any information furnished on, or in connection with, this Income Verification Request Form if you become aware of any change to, or inaccuracy of, such information during your participation in the program.
• Intentional misstatements, falsification or failure to update or correct this Income Verification Request Form may result in ineligibility for, or termination from, the program. By submitting this form, you are agreeing to receive emails about Illinois Solar for All from ILSFA Approved Vendors.”