Energy Assistance Application

This online application should take anywhere from 5-20 minutes to fill out, depending on your household size. If we have remaining questions about your application, an Energy Assistance staff member will contact you. If you'd like to save your application and finish at a later time, please select 'Save' at the bottom of the page and you will be directed to create an account. In order to finish your application later, you'll need to save your username and password to log-in.
If you've already saved your application, please log in using the button below.

Save & Return

Use an account to return to saved work.

Please select the type of assistance:
Please select all of the following that apply to you or your household:

Household Contact & Eligibility Information

Education (24 Years or Older)
Military Veteran
Health Insurance
Is your mailing address the same as your residential address?
How long have you lived at your residence?

Is anyone in your household 60 years and older or have a disability?
Is anyone in your household 5 years old or younger?
Please select your primary HEAT source. (Select one only)
If you cannot provide proof of income, you will need to submit a Self-Request for Employment History and a Statement of Income. Do you need to submit a Self-Request for Employment History and Statement of Income? *