Energy Conservation Assistance Program Application Form

Download and print an application for energy assistance apply in person at your local energy assistance office.

Energy conservation assistance program application form.

Income qualifying customers may be eligible for a free energy saving kit and the energy conservation assistance program which offers a free home energy assessment products and advice. Energy assistance program apply apply for the energy assistance program. If you encounter issues with energy we can help you with bill payment assistance home energy crisis intervention outreach to vulnerable populations energy advocacy information about utility consumer rights and referrals to our energy conservation service and other community agencies. Home visits can also be arranged for senior citizens or other persons with special medical needs.

Please sign here use ink signature date certification print name print name print name print name x low income home energy assistance program if you have a disability and need this application in large print or another. We are accepting completed eap applications via mail fax through the dwss office drop boxes lobbies or our email at energyassistance dwss nv gov. Assistance is also available through the state emergency relief ser program and the michigan energy assistance program meap. Energy conservation assistance program.

Energy conservation assistance program application please complete each of the following before submitting your application. Please note you cannot save a completed copy of this form on your computer. 3374c 19 05 energy conservation assistance program application please complete each of the following before submitting your application. If the property is served with natural gas through fortisbc additional rebates may apply.

Bc hydro account first name on bc hydro bill last name on bc hydro bill phone. Pick up an application from a dwss office. Consent form in the mail that could allow you and your household members to be automatically enrolled in medical assistance. Call your local office to receive an application by mail.

Thank you for your interest in saving energy. If you need immediate assistance in getting a delivery for propane for fuel oil help keeping your energy services on or restoring services that have been disconnected the quickest way is to apply for ser is online. If you live in an income qualified household you can either request a free energy saving kit or start an application for the energy conservation assistance program by using this online form. Complete the application in full or we will not be able to process your application.

For a printable application form click on the button s below. Attach the most recent notice of assessment for each member of the household 18 years of age or older or other approved proofs of. Learn more about the energy conservation assistance program.