This page contains a variety of helpful resources and commonly used forms. Download and review these forms before contacting us.

LIHEAP Online Application

• Online Application Portal (CALIHEAP)
• Online Application Guide

LIHEAP Complete application packet

• LIHEAP Application Guide ( English , Spanish , Video )
• LIHEAP Application Packet (PY 2021)
• LIHEAP Documentation Checklist

Individual Forms HEAP and Weatherization

• CSD-43 Energy Intake Form (English)
• CSD-43 Energy Intake Form (Spanish)
• CSD-600 Statement of Citizenship or Non Citizen Status for Public Benefits Rev-3-24-06
• CSD-81 Consent Form English
• CSD-81 Consent Form Spanish
• CE CSD-321 2021 Acknowledgment Form (English)
• CE CSD-321 2021 Acknowledgment Form (Spanish)
• PGE CARE FERA App 5-31-21
• CSD-43B Certification of Income and Expenses - ENGLISH
• CSD-43B Certification of Income and Expenses - SPANISH
• LIHEAP Statement of Financial Support 3.0
• Application Referral Source
• PG&E CARE Online Enrollment –  (COC 440)
• Home Energy Conservation Tips
• Make a Budget Worksheet
• CSD-51 SWEATS Intake Form (For use only during declared extreme weather conditions)

Weatherization Forms

• Weatherization Intake Form
• Weatherization Intake Form - Spanish
• CSD-515A Energy Serv Agreemt - Occupant-2-12-16392
• CSD-515B Energy Serv Agreemt - Prop-Owner-2-12-16798

Other Forms

• Service Referral and Follow-Up Summary
• SOC341--Report Elder Abuse Form
• SOC342--Report Abuse for Financial Institutions
• Community Center Rental Application