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

APPLICATION PACKETS

(NOTE: a completed application packet with supporting documents is REQUIRED TO APPLY FOR ALL PROGRAMS)

ALL PROGRAMS APPLICATION PACKET

Water Tips and Other Programs

• Water Conservation Tips
• California Water Boards assistance program

APPLICATION REPLACEMENT FORMS

(NOTE: these forms are TO BE USED INDIVIDUALLY AS NEEDED. TO APPLY FOR SERVICES, YOU MUST COMPLETE and submit an APPLICATION PACKET and submit supporting documentation.)

HEAP and Weatherization Forms

• 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-600 Statement of Citizenship or Non Citizen Status for Public Benefits (Spanish) Rev-3-24-06
• CSD-81 Consent Form English
• CSD-81 Consent Form Spanish
• 2025 Acknowledgment Form ( English and Spanish )
• CSD-43B Certification of Income and Expenses - ENGLISH
• CSD-43B Certification of Income and Expenses - SPANISH
• LIHEAP Statement of Financial Support 5.0 (Bilingual)
• Household Facts Sheet
• Application Referral Source
• PG&E CARE Online Enrollment
• Home Energy Conservation Tips
• Home Energy Savings 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 Agreement - Occupant-2-12-16392
• CSD-515B Energy Serv Agreement - Prop-Owner-2-12-16798