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The 2026 LIEAP application period begins January 20, 2026, at 8 a.m. and ends March 31, 2026, at 5 p.m.

Current Member Information
Financial Information
Authorization
Form Summary
Complete

Authorization Agreement for Automatic Payment

This is a secure form and the information collected will only be used for internal, business purposes.

Name

Email

Phone

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Electric Account Number(s) to be paid: