Energy Conservation Assistance Program Application Form

Attach the most recent notice of assessment for each member of the household 18 years of age or older or other approved proofs of.

Energy conservation assistance program application form.

We are accepting completed eap applications via mail fax through the dwss office drop boxes lobbies or our email at energyassistance dwss nv gov. Energy conservation assistance program. Energy conservation assistance program application part i details and eligibility 1. Please note you cannot save a completed copy of this form on your computer.

Home visits can also be arranged for senior citizens or other persons with special medical needs. Thank you for your interest in saving energy. 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. Call your local office to receive an application by mail.

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. 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. Complete the application in full or we will not be able to process your application. Assistance is also available through the state emergency relief ser program and the michigan energy assistance program meap.

3374c 19 05 energy conservation assistance program application please complete each of the following before submitting your application. Download and print an application for energy assistance apply in person at your local energy assistance office. If the property is served with natural gas through fortisbc additional rebates may apply. Account holder information you must be a bc hydro account holder for the property.

Bc hydro account first name on bc hydro bill last name on bc hydro bill phone. Complete the application in full or we will not be able to process your application. Consent form in the mail that could allow you and your household members to be automatically enrolled in medical assistance. For a printable application form click on the button s below.

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. Pick up an application from a dwss office. 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.