Forms

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

*************The Online Application Portal (CALIHEAP) is temporarily unavailable. You may download and complete the application below and submit by:*******************

E-Mail: heap@sjgov.org

Fax: 209-932-2649

US Mail: Energy Program, PO Box 201056, Stockton CA 95201

Self Service Drop Box: 333 E. Washington Street, Stockton CA 95202

 

Low Income Home Energy Assistance Program Online Application

 

APPLICATION PACKETS

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

ALL PROGRAMS APPLICATION PACKET

(Complete this packet to apply for ONE PROGRAM, or ALL THREE PROGRAMS at the same time: HEAP, Weatherization, and/or Water Assistance.)

WATER ONLY APPLICATION PACKET (Complete this application to apply for Water Assistance only.)

 

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

Weatherization Forms

Water Assistance Forms

Other Forms

 

 

 

 

 

 

 

 

 

 

 

Helpful Numbers

Child Abuse Hotline

(209) 468-1333

Elder Abuse

(209) 468-3780 or
(888) 800-4800

Fraud Hotline

(209) 953-7733