• This application is for regular Energy Assistance and Weatherization benefits ONLY. Regular Energy Assistance is a once a year benefit.
• The application takes approximately 45-60 minutes to complete.
• It is safe, secure, and confidential. Your information and privacy are protected.
• A representative from your local agency may follow up with you after you submit the application.

Information You Will Need

• You will need the following information to complete this application: 
  • About you and every one of your household members, if any
    • Social Security Number (SSN)
    • Date of birth
    • Income information from all sources
  • About the energy fuels that you use
    • Fuel type(s)
    • Name of the fuel/utility company that delivers energy fuels to you
    • Account number for every fuel/utility company (found on your bill) 
  • About your landlord or property management company, if applicable.  Your application cannot be processed without this information.
    • First and Last Name or full company name
    • Address
    • Phone number
• It is highly recommended that you upload any pertinent documents (income, tax, fuel/utility bill, power of attorney, proof of citizenship, rental lease, etc.) to expedite the application process.
  

Getting Started

• Do not use the web browser buttons (back, forward, or close browser). Use the buttons within the questionnaire to navigate.
• For best results, use the latest version of the Chrome web browser.
• A valid email and/or mobile phone number is required. A 6-digit passcode will be sent to you at the start of this process.
• This passcode is valid for 24 hours. If you have not started the application process within the 24 hours, a new passcode request will be required, select "Start Now - I need a passcode".
• If you have already received your 6-digit passcode, or have entered any information into the online application, please select “Existing User - I have a passcode” to regain access to your application.