Green Home Certification Form
Use this checklist to evaluate whether a home meets green certification criteria and record the review outcome.
Property Overview
Property Name / Project Name
*
Property Address / Location
*
Property Type
*
Single-Family Home
Townhouse
Apartment / Condo
Duplex
Other
Certification Stage / Status
*
Pre-Assessment
In Progress
Final Review
Other
Green Certification Checklist
Green home criteria assessment
*
Rows
Meets
Partially meets
Does not meet
Not applicable
Energy efficiency
1
2
3
4
Water conservation
5
6
7
8
Indoor air quality
9
10
11
12
Waste and recycling
13
14
15
16
Materials sourcing
17
18
19
20
Energy efficiency
*
Meets
Partially meets
Does not meet
Not applicable
Water conservation
*
Meets
Partially meets
Does not meet
Not applicable
Indoor air quality
*
Meets
Partially meets
Does not meet
Not applicable
Review and Next Steps
Overall Recommendation
*
Approved
Needs Corrections
Not Yet Eligible
Reviewer Comments and Required Improvements
*
Reviewer or Submitter Name
*
Inspection / Review Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit Checklist
Should be Empty: